JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NOLAKEYS: Sign Up for FREE Music Lessons!
www.NOLAKeys.org
This form must be completed by a parent for students 12 and under. Students 13 and older may sign up on their own provided they have parent permission and a valid email address of their own. Parent's email address will still be required.
Sign in to Google
to save your progress.
Learn more
The purpose of this form is to collect information from the parents of students (ages 11 to 18) who are interested in FREE online music lessons for their child sponsored by the NOLAKEYS Music Program. We are receiving a large number of interested music students. We will place as many as we can. Thank you for your patience.
Parent's email address
Your answer
Student's email address (for kids 13 and up)
Your answer
Which is your child's top choice (ONLY choose one)
Piano
voice (popular)
Trumpet
string instruments
Drum
Other:
What level are you on with that instrument? (check only one)
Beginner (this will be new for my child)
What is your second choice? (In case 1st choice is not available)
piano/keybaord
voice
wind instruments
string instruments
percussion instruments
Other:
Parent's Name (Last, First)
Your answer
Student's Name (Last, First)
Your answer
Phone number
Your answer
Do you currently have an instrument at home?
Yes
No
Other:
Clear selection
Submit
Page 1 of 1
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
