Name of student

First Name

Last Name

Name of parent (if applicable)

First Name

Last Name

Email

Phone

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Age range of student

Preferred lesson time

Availability: I am available Tuesday and Friday afternoons and some Saturday mornings. Please let me know when you would prefer to have lessons and I will get back with you about my availability. *check with me for other times if needed

Questions?

I am looking forward to teaching you drawing! - Heather