New Student Interest Form
Thanks so much for choosing PCM! We are excited to have you as a part of our musical family. 

This form is intended to begin the private lesson registration process by collecting some basic information from you, determining the student's current musical abilities and goals, and gathering logistical information for the lessons themselves. This information will help us match you with the best instructor possible!

If you are submitting for multiple students or instruments, please fill out the form for each individually

If you are looking to sign up for a group class, please visit https://portlandconservatoryofmusic.org/classes/ or contact us via phone/email at (207) 775-3356 / registrar@portlandconservatoryofmusic.org for details about class.
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Email *
Student Name *
first and last
Parent(s) Name (if applicable)
first and last
Email Address (Parent, if applicable) *
Phone Number (Parent, if applicable) *
Student's Birthdate *
Student's Address *
What instrument is the student interested in studying? *
How long have they studied this instrument? *
Is the student able to read music? If so, at what proficiency? *
Is there a particular style or genre of music the student is interested in studying?
Is there a particular teaching style or method that the student prefers or responds to well?
Please provide your general availability below:
Mondays *
select ALL that apply
Required
Tuesdays *
select ALL that apply
Required
Wednesdays *
select ALL that apply
Required
Thursdays *
select ALL that apply
Required
Fridays *
select ALL that apply
Required
PCM does not regularly schedule weekend lessons at this time, but can do so on an as-needed basis. Please indicate your interest in weekend lessons below if applicable:
Clear selection
What modality of lessons does the student prefer? *
select all that apply
Required
Lesson Duration *
$45 for 30 minute lessons, $60 for 45 minute lessons, $75 for 60 minute lessons, billed per semester NOT per individual lesson
Required
How did you hear about PCM? *
Do you have any questions or comments about lessons with us?
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