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CONTACT: flutestudio@rogers.com
519-872-6269
Please copy and paste the following outline into your email and complete the relevant fields.
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