SJAM Interview/Trial Class Request Student First Name Student Last Name Student's Age Parent Email Instrument of Interest Instrument of InterestPianoViolinVoiceDrumsGuitarUkuleleMusic Theory Day and Time for Interview Lesson Does the student have previous experience in learning the instrument? If so, how many years & what is their current level? Preferred Day for the Interview Lesson Note: Give us at least one week lead time to book your appointment. Do you prefer in-person or online music classes? Do you prefer in-person or online music classes? In-person Online Phone Number Is the person filling out this form the parent or student? Is the person filling out this form the parent or student? Parent Student Parent's/Guardian's Name Comments/Questions 15 + 7 = Submit