Contact

email: info@brassartisan.com

phone: 508-733-2260

Student Name *

First

Last

Student's Current Grade (if applicable) *

Student Email (use parent/guardian if applicable) *

Student Phone

Parent/Guardian Name (if applicable) *

First

Last

Parent/Guardian Email *

Parent/Guardian Phone *

Street Address *

City *

State *

Zip Code *

Lesson Type (Please select one) *

Tuition: 60 Minute Lesson - $60; 30 Minute Lesson $30

Instrument *

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