SSS New Student Information Form
If you would like to join my studio, please fill out the information below. Please note that there are limited openings for Traditional students. Please fill out one form per student.
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Email *
Student Name (first, last) *
Student Date of Birth (if you are an adult please type NA) *
Student's School (or NA if adult)
Student's Current Grade Level in School
Parents Names (if you are an adult student type NA) *
phone # *
mailing address
Which instrument do you wish to study?
Clear selection
Is the student a beginner? If not, please describe experience.
Which approach are you interested in? Please note: all students 7 or younger will begin with me using the Suzuki Method
Clear selection
Why do you want/would like your child to study an instrument/music?
Please list possible lesson times you can attend during the week (please list 3 possible times on 2 different days (i.e: Tues 4:30 - 5:15pm, Th 5:30 - 6pm, Th 6:00 - 6:30pm). Please keep in mind that 4-5pm is a very popular time so if you can add later and/or Saturday mornings to your availability that would help with scheduling
How did you find me/my studio? A referral or ?
Anything else you'd like to share with me?
Submit
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