talent Musicschool
A talent academy for young pianists and more...

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Trial Lesson Registration
Music School Talent – Simone Anders
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Contact person
Email address *
**Salutation *
First name *
Last name *
Street and house number *
Postal code *
City *
+49
Mobile phone number *
☐ Please call me / I would like a phone consultation
Lesson
☐ I would like to register myself
☐ I would like to register my child / children
1st Child
Gender *
First name *
Last name *
Date of birth *
Location *
Program / Course *
30 minutes
Preferred day * (multiple selection possible)
☐ Monday
☐ Tuesday
☐ Wednesday
☐ Thursday
☐ Friday
☐ Saturday
Preferred time * (multiple selection possible)
☐ before 10 a.m.
☐ 10–12 a.m.
☐ 12–2 p.m.
☐ 2–4 p.m.
☐ 4–6 p.m.
☐ 6–8 p.m.
☐ after 8 p.m.
Special requests or additional information
Notes (1st child)
☐ Instrument available
☐ Prior knowledge / experience
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