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Lessons Registration Request – Eastman School of Music
Lessons Registration for non-ESM students.
Name
*
First
Last
I'd like lessons starting
*
Fall 2013
Spring 2014
Class Year
*
2017
2016
2015
2014
Phone
Phone format: (###)###-####
Email
*
Instrument
*
Jazz Bass
Jazz Guitar
Jazz Piano
Organ
Piano
Double Bass
Classical Guitar
Harp
Viola
Violin
Violincello
Voice
Horn
Trombone
Trumpet
Tuba
Euphonium
Bassoon
Clarinet
Flute
Oboe
Saxophone
Percussion
Length of Study
*
Please enter a value between
0
and
25
.
Enter closest number in years
Have you ever taken lessons at ESM on this instrument?
*
Yes
No
If so, when?
*
Comments or Questions
