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Form for Guitar Lessons

Who will the lessons be for?
Adult
Child
If child, how old?
Have you taken guitar lessons before?
No
Yes
Which style(s) of music do you like the most?
Classical
Jazz
Modern/Pop/Rock
Sacred
New Age
Broadway/Show
Country
Other
What type of guitar(s) do you own?
Accoustic Guitar
Electric Guitar
Both Accoustic & Electric Guitar
None, I have not purchased one yet.
Would you like one on one instruction or do prefer to be in group lessons?
One on One Instruction
Group Lessons
Currently new students are being accepted at our Salem and Portsmouth, NH music studio's, please select which location is best for you.
Salem, NH 03079
Portsmouth, NH 03801
Generally guitar lessons are given once a week. Pick as many days that would work best for you? 
(The guitar instructor will call you later to work out the details and confirm)

Monday
   
Tuesday
   
Wednesday
   
Thursday
   
Friday
   
Saturday
   

When would you like to start the lessons?
Contact Information
 Contact Name
 
 Students Name - if different from the contact name
 
Zip Code
 
 Email (email will only be used to help expedite the enrollment process)
 
 1st Phone #
 
 2nd Phone #
 

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