416-533-7791
416-533-7791

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Teachers

Samantha Etchegary
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Samantha Etchegary
Music Lesson Registration
Full Name of Student:*
Student’s Age:*
Student’s Gender:*
Type of Lessons:*
Lessons of Interest:*
If other, please specify:
Student’s Level:*
Has the student studied music before?*
If yes, how long?
Full Name of Parent (if student is under 18):
Street Address:*
City:*
Postal Code:*
Cell Phone #:*
Email Address:*
Student Availability:*
Available Times:*
How did you hear about us? *
I Agree*