Prospective Student's Name *

First Name

Last Name

Parent / Guardian

First Name

Last Name

Phone *

(###)

###

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Do you have a Harp at home? *

Not yet, but I am thinking about renting one.

Not yet, but I am thinking about purchasing one.

I have a Lever Harp.

I have a Pedal Harp

About how old is the harpist? *

Leigh teaches all ages 6 and up.

Elementary Age

Middle School Age

High School Age

College Age

Young Professional

Adult

Mature / Retired

Name *

First Name

Last Name