2017-2018 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
Your answer
Adult or Child?
Gender (optional)
Email
Your answer
Phone Number
Your answer
Home Address
Your answer
Parent/ Guardian Name (required for children and teens)
Your answer
Relationship to Child
(mother, father, grandparent, guardian, etc.)
Your answer
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?
Your answer
Music Goals- please check off any goals you have for your music learning
Required
What styles of music are you interested in?
Required
Are there any emotional or behavioral issues that we should be aware of before lessons begin?
If yes, please explain
Your answer
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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