New Inquire Questionnaire & Waiting List Request
Please fill out this questionnaire if you are interested in taking lessons from Valois Academy, your name will be added to the current waiting list.  This is for serious inquires only.
Sign in to Google to save your progress. Learn more
New Student Name (First & Last Name) *
Please indicate new student's current age if he/she is a minor *
Parent Name (First & Last Name)
Contact Cell Phone number *
Interested music lessons *
Required
Please indicate your prior experience playing piano or singing? *
Please name your latest piano music or song you are working on.
Please tell us a little about yourself and explain your goals for taking music lessons? *
Are you willing to come for a 30 mins of trial lesson? *
Audition is required for anyone who has had prior piano or singing experience, please be ready to play or sing a polished piece of music.  There will be a fee of $30 for a 30 mins mini trial lesson.
Please enter any questions, comments or concerns you would like to discuss during the mini trial lesson. Thank you
Please tell us how did you heard about Valois Academy of Performance Art *
Required
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

Google Forms