Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
New Student Registration
Welcome to the Storytellers Music Studio! I will share additional forms regarding pricing/payment information and my studio policies as soon as possible.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student’s name
*
Your answer
Age
*
Your answer
Gender
Male
Female
Other:
Clear selection
Birthday
MM
/
DD
/
YYYY
School name
Your answer
Student email
Your answer
Home/mailing address
Your answer
Student’s instrument of choice
Your answer
Please list any prior musical experience of the student, if any
Your answer
Primary contact’s name and relationship to the child (i.e. “Mother, Lisa Boyd”)
Your answer
Primary contact’s phone number
Your answer
Can I communicate with you primarily through text?
Yes
No
Other:
Clear selection
Primary contact’s email address
Your answer
Secondary contact’s name and relationship to the child
Your answer
Secondary contact’s phone number
Your answer
Optional emergency contact’s name and phone number
Your answer
Please list any of the student’s known allergies, conditions, disabilities, or other relevant information
Your answer
Additional comments
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
