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