Music Instruction Policies & Procedures
South Island Music, Inc.
2423 Mermaid Ave.
Wantagh, NY 11793
info@southislandmusicinc.com
(516) 679-1045
Fax: (516) 679-1045
HOURS:
Mon - Fri: 9:30-9:30 Sat: 9:30 - 3:30
24 Hour Answering Service
Music Instruction Policies & Procedures
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HERE
for our music instruction policies.
Student Information Form
Name
*
Student's Name
Student's Age
Street Address
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Home Phone
*
Work Phone
*
Instrument Type
Best time to reach you
Morning
Afternoon
Evening
Lesson Length
30 Minutes
45 Minutes
1 Hour
Lesson Location
In Home
Studio
Billing Preferrence
Online Billing
Billed through the mail
Musicians For Hire Information
Type Of Function
Location Of Function
Date Of Function
Type Of Ensemble
Jazz Quartet
Jazz Trio
Classical Quartet
Classical Trio
Brass Ensemble
Specific Instrument Type - Classical
Flute & Harp
Flute Quartet
Solo Violin
String Quartet
String Trio
2 Flutes & Cello
Flute, Violin & Cello
Specific Instrument Type - Jazz
Guitar, Bass & Piano
Guitar & Bass
Guitar, Bass, Piano & Drum
Solo Guitar
Guitar, Bass, Piano & Sax
Solo Piano
Special Requests & Comments
* Required to submit this form
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South Island Music, Inc.
(516) 679-1045
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