Private Lesson Interest Form
Thank you for your interest in private voice, acting, and musical theatre lessons! This form helps me learn more about your student, your family’s scheduling needs, and your lesson goals so I can build the best lesson schedule possible. Submitting this form does not commit you to lessons. After the priority deadline, I will create a proposed lesson schedule, schedule a free consultation with each family, and send out next steps.
Sign in to Google to save your progress. Learn more
Student Name *
Please enter the full name of the student interested in private lessons.
Student Grade *
Select the student’s current school grade from the list below.
Parent/Guardian Name *
Please provide the name of the primary parent or guardian.
Parent Email *
Please enter the parent or guardian’s email address.
Parent Phone Number *
Please enter the parent or guardian’s phone number.
Lesson Interests *
Which lesson(s) are you interested in? You may select more than one.
Required
Preferred Lesson Length *
Select your preferred lesson length. You may choose more than one if flexible.
Required
Preferred Frequency *
How often would you prefer lessons to occur?
Required
Available Days *
Please indicate the days you are generally available for lessons. (Select all that apply)
Required
Preferred Lesson Time *
What is your preferred time of day for lessons?
Required
Lesson Format Preference *
Please select your preferred lesson format.
In-Person lessons will be done in the students home! Please give me a vague description of where you live so I can plan travel between lessons. (Major landmarks or cross streets are totally fine, I don’t need your full address right now!) *
Lesson Goals *
What are you hoping your student will gain from lessons? You may select all that apply.
Required
Previous Experience
Tell me a little about your student’s previous experience. (Optional)
Additional Notes
Please enter any additional notes or special considerations (allergies, accessibility needs, etc.)
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