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BKP Studio Lessons Request Form
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Name
*
First
Last
Phone Number
*
Email
*
Are you the one inquiring about lessons?
*
Yes, the lessons will be for me.
No, the lessons will be for my child
Chilld's Name (If Applicable)
First
Last
Child's Age (If Applicable)
What Instrument/skill are you interested in learning?
*
– Please select –
Piano
Acoustic Guitar
Electric Guitar (Rythym)
Electric Guitar (Lead)
Bass Guitar
Drums
Voice
How would you describe your current skill level?
*
Brand New- I know what a guitar is.
Beginner – I know how to play “Smoke On The Water”
Intermediate – Of course I know what a flat five is!
Advanced – I don’t actually need lessons. I just want to jam.
music Age Email
What music genre are you interested in learning?
Is there anything else you would like to share?
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