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CONTACT: flutestudio@rogers.com
519-872-6269

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Adult 10-week Flute Course

First Name:
Last Name:

Address:
City:
Phone:
E-Mail:

Course: Beginner   Advanced

Level: Unknown   RCM II   RCM IV   RCM VI   RCM VIII   RCM IX   RCM X   RCM ARCT

Background: None   School program   Under 6 months   1 year   2 years   3+ years   Other

If you have previous experience, how long ago did you study?: 1-5 years   5-10 years   > 10 years

Do you have any specific goals?:

I would prefer to start the course on: Monday   Tuesday   Wednesday   the week of:


I am interested in supplementary theory lessons. Yes No

I am interested in being part of a flute ensemble. Yes No

I have a Flute. Yes No

I am interested in being part of a practice group. Yes No

Additional Questions:
How did you hear of the O'Neill Flute Studio?
Studio Website   MusicStaff.com   Privatelessons.com   Other Website   Newspaper   Belle Air Music   Walter's Music   L'Atelier Grigorian   Business Card   Flyer
Word of Mouth