Your Name *

First Name

Last Name

Your Phone Number *

(###)

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Name Of Student

You can leave this blank if it's for you!

First Name

Last Name

Please select the days which would suit you best

I will use this information to offer you a weekly slot if one becomes available. Please tick as many as you'd like.

Mondays

Tuesdays

Wednesdays

Thursdays

Saturdays

Sundays

Hand Dominance

This helps me set up the drum kit in advance for you

Right Handed

Left Handed