Encore – Private Music Interest Form

In order to book an Encore – Private Music training at the Moise Safra Center, please fill out the form below to help us best match you. If you have any questions please contact Marley @ mrosenthal@moisesafracenter.org

Encore – Private Music

Parent Name(Required)

First Last

Email(Required)

Phone(Required)

Child Name(Required)

First Last

Instruments & Schedule

Please select the instrument your child is interested in:(Required)

Guitar – Monday & Thursdays

Voice – Mondays

Piano – Wednesdays & Thursdays

Woodwinds – Wednesdays

Please select the lesson length you are interested in:(Required)

30 Minute Lessons

45 Minute Lessons

60 Minute Lessons

Has your child taken lessons before?

Yes

If yes, what instrument and for how long?(Required)

Is there anything else you would like us to know about your child or their musical interests?

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Encore – Private Music Interest Form

Encore – Private Music

Instruments & Schedule

weekly schedule