LISM Spring 2024 Registration Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Welcome to the Long Island Studio of Music Family! Please use the form below to register for Spring Lessons.
Please fill out this form carefully and verify that all information is accurate!

The LISM Spring 2024 runs 24 weeks beginning Monday, January 8th - June 23, 2024

** You may register at any time: late registrants will be pro-rated for the remaining lessons of the current semester.**

If this is your first Fall/Spring Term, please note that lessons are a weekly commitment, as opposed to a "package" as we offer in the Summer Term.

Email *

Please note that you must complete this form for EACH SET of lessons. If you have multiple students in your family, or your student(s) take multiple instrument lessons, you must fill out the form more than once. *

I understand.

Student Status *

Returning/Current Student

Returning Student beginning a NEW/ADDITIONAL INSTRUMENT.

New Student

Student First Name *

Student Last Name *

Gender *

Student's pronouns (ie. He/Him, She/Her, They/Them, etc.)

Student Age (as of 1/1/2024) *

Instrument *

Length of Lesson Desired: *

30 Minutes (Offered only for first semester students, primarily under age 7)

45 Minutes (Minimum length for student's with 1 or more years experience AND/OR over age 8)

60 Minutes (recommended for intermediate/advanced students and/or adult learners)

I am unsure: I would like to consult with LISM about an appropriate lesson length.

Payee Name: (Name of person paying for LISM tuition) *

Payee Email address (Primary Email for contact: Please review carefully) *

Payee Phone Number (xxx-xxx-xxxx) *

Secondary Contact: Name

Secondary Contact: Email *

Secondary Contact: Phone *

Address (Street Address) *

City *

State *

Other:

Zip Code (XXXXX) *

(Optional) Please list any necessary details about accessing your home (gated community, private driveway, special parking laws/regulations, etc.)

I would like Spring '24 lessons to be delivered primarily: *

In-Person

Virtually (via Zoom, Facetime, Skype, etc.)

Is there any special information we should know? (Lesson modality, concerns specific to the student, etc.)

Please briefly describe your student's experience on this instrument, if any (have they taken lessons before, are lessons offered in school, etc.)

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms