Music Education Registration

Student Questionnaire

Instruction Type(Required)

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

How Did You Hear About Us?(Required)

Have you had any formal training? If yes, please describe.(Required)

Have you ever taken lessons before?(Required)

Who have you studied with?(Required)

Do you play an instrument? If yes, which instrument(s).(Required)

How long have you been singing or playing your instrument?(Required)

What do you want to get out of your lessons?(Required)

What is your favorite genre/type of music?(Required)

Have you sang in choirs before (for vocal students only)(Required)

Yes

If yes, please describe:(Required)

Do you have a repertoire?(Required)

Yes

If yes, please bring it to your first lesson.

What are your top 5 favorite Artists/Bands?(Required)

Please list them here.

Policies and Procedures

Please review the policies and procedures of the studio. Place a check next to those you've reviewed. If you have additional questions, please note them below the form. Your submission signifies your agreement to the policies and procedures of the studio.

Name(Required)

First Last

Provide your daily practice time (Primary)(Required)

Provide your daily practice time (Alternate)(Required)