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* 1. Your Name
Note: Your responses to this survey will only be used to determine enrollment options and eligibility. Your information will not be shared, and you will never be contacted for unsolicited purposes. Usual response time is 1-2 business days.

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* 2. Your Email Address

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* 3. Your Phone Number

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* 4. Child's Age

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* 5. Days/Times You Are Available (Inside of M-F 3-7pm, Sat 11am-2pm)

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* 6. Preferred Lesson Format

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* 7. Preferred Class Size

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* 8. Discount Code

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* 9. Comments or Questions for KinderGuitar Berkeley

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