Lesson Enrollment Form
Thank you for your interest in Heywood Music Studios. If you would like to register for music lessons complete the form. ONE student per form. Once we receive your registration you will be able to complete the free basic music assessments required by all potential students. This will be your way to show us what you know about a few basic music concepts and theory. I look forward to having the opportunity to open your world to music!
See STUDIO POLICIES : https://drive.google.com/file/d/0Bx5IOFvPMLZgRkRPRElYXzdjUU0/view?usp=sharing
Are you an adult student or the parent of a student? *
Student First Name *
Your answer
Student Last Name *
Your answer
Adult/guardian first/last name (if adult student, enter 'n/a' *
Your answer
Street Address *
Your answer
City *
Your answer
Zip *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Home Phone Number *
Your answer
Mobile Phone Number
Your answer
Does your mobile phone accept text messages? *
Preferred Email *
Your answer
Student's current grade *
Has your family registered before? *
Have you had private lessons before? *
If "Yes", please indicate 'years' of study and name(s) of previous teacher(s).
Your answer
Select instrument you wish to study *
Select one
Location *
Desired Lesson Length *
Please select one (it is recommended that adult and voice students take at least a 45 minute lesson)
Day/Times Available *
Your answer
Any allergies? If 'yes', please list
Your answer
How did you first hear about Heywood Music Studios? *
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