Let's get started. Tell me about yourself...
(scroll down past price list to fill out the form)
  • These are intended to be consecutive, weekly singing lessons.
  • 24 hours notice of cancellation is required or the lesson will not be made up or refunded.
  • Lesson packages are paid for via e-transfer.

5 lesson package options:

  • 30 min ($44) x 5 = $220
  • 45 min ($66) x 5 = $330
  • 60 min ($88) x 5 = $440

10 lesson package options (5% discount incl.)

  • 30 min ($41.80) x 10 = $418
  • 45 min ($62.70) x 10 = $627
  • 60 min ($83.60) x 10 = $836

*NEW* students: 
  • This form helps me learn a little bit more about you but we can discuss finer details upon my reply. 😊

Sign in to Google to save your progress. Learn more
Student's first name *
Student's last name  *
Student's Email address *
Student's cell phone number 
Parent's first name (if student is under 18)
Parent's last name (if student is under 18)
Parent's email address (if student is under 18)
Parent's phone number (if student is under 18)
😃 If you are a BRAND NEW STUDENT, please tell me about your musical background:

*Teens: How old are you and/or what grade are you in? 
*If you're not a teenager, please put ADULT.
*Have you taken singing lessons before?
*Do you play an instrument or take lessons?
*Do you sing in a choir or participate in a music ensemble of any kind?
*List any other musical background you'd like to share.
*Tell me about your singing goals.
WHERE would you like to have your lesson? *
Required
How LONG would you like your lesson to be? *
What DAY of the week would you like to have your lesson? 

(Please check off the days that work for you)
 *
Required
What TIME of day is optimal for your lesson?

(Please check off all of the times that work for you and/or add an alternate choice.)
 *
Required
On what DATE are you hoping to start your lessons?

 *
Which lesson package are you interested in? *
Required
Is there anything else you'd like me to know?

Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Marcia Whitehead. Report Abuse
Google Forms