2018-2019 New Student Registration
Hello! I'm so glad you're ready to start making music (again?).
Please fill out this form so I can find out more about you.
- Ms. Julia
Student's Full Name *
Adult or Child? *
Gender (optional)
Clear selection
Email *
Phone Number *
Home Address *
Parent/ Guardian Name (required for children and teens)
Relationship to Child
(mother, father, grandparent, guardian, etc.)
Please tell us a little bit about your music experience. Have you ever taken lessons? For how long? Have you ever performed music in front of an audience? Anything else you want me to know? *
Music Goals- please check off any goals you have for your music learning *
What styles of music are you interested in? *
Are there any emotional or behavioral issues that we should be aware of before lessons begin? *
If yes, please explain
Thank you!
After submitting this form you will hear back from me within 48 hours to chat more about your music goals and get you set up with lessons and/or classes.
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