Student Inquiry Form

Student First name*

Student Last name*

Student Birthday*

Month

Day

Year

Parent/Guardian (if student under 18)

Address*

Email (we only contact you when needed... no spam emails) *

Phone*

Instrument(s) of Interest*

Experience Level*

Beginner

Intermediate

Advanced

Can You Read Sheet Music(it's okay if not)*

Yes

No

A Little

Preferred Learning Style*

Visual

Auditory

Hands - On

Not Sure

Goals For Lessons*

Availability Days/Times For Lessons*

Previous Instructors ( if any) *

Instruments Played Before(if any) *

Length Of Study(if any)*

Currently in Band/Orchestra*

yes

no

Health & Safety ( optional but encouraged )Any Allergies or medical conditions we should be aware of? physical limitations that may effect playing?*

How Did You Hear About Us?

Website

Social Media

Friend/Family

Event/Fair

One of our Instructors

Other

Addional Notes or Questions

Thank you for taking the time to fill this out and reach out to us. We typically respond within 24 hours. Talk to you soon!

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