Scheduling Survey
PLEASE NOTE: This form is for information gathering purposes only and does not guarantee that you will receive a particular spot.

Thank you in advance for taking the time to fill this out completely! Your answers will be used to help schedule your regular weekly lesson, as well as other events that may occur throughout the year, including class parties, rehearsals, performances, etc.

In the case of multiple families wanting the same time slot, preference will be given in order of seniority, as well as to families that study year-round.

Email address *
Student Name *
Your answer
Student Age/Date of Birth (if adult, mark as n/a): *
Your answer
Parent/Guardian Name (if adult, mark as n/a): *
Your answer
Phone Number (with area code): *
Your answer
Can you receive texts at this number? *
Email address: *
Your answer
I am interested in (choose all that apply): *
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