Private Lesson Student Inquiry Form
STUDENT CONTACT INFO
Student Name *
Parent/Guardian Name (if applicable)
Primary Phone *
Secondary Phone
Email Address *
Secondary Email address
Student age/grade (if applicable)
What instrument are you/your child interested in learning?
Any previous musical experience? (prior lessons, school ensembles or classes)
Is there specific goal in mind for musical study? What would you/you child like to learn about this instrument, or music in general?
What kind of teaching style would you/your child prefer? Is there any other information that you feel is important for us to know prior to placement with a teacher? (special learning or emotional needs, gender preferences, etc.)
What days & times are you/your child be most likely to be available for lessons? Try to choose times that work during the entire school year.
As of now, do you prefer online or in-person lessons? *
How did you hear about us? *
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This form was created inside of New School of Music.