Music/Vocal Student Inquiry Form

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Contact Information

Full Name*

Preferred Name/Nickname (if applicable)

Parent/Guardian Name (if applicable)*

Email*

Phone*

Preferred Contact Method*

Email

Phone

Musical Interests & Background

Instrument you'd like to learn*

Years of Experience (if any)*

Other instruments or musical skills you'd like to explore (if applicable)*

Current ensembles/groups (if any)*

Learning Styles & Needs

Accommodations needed (if any)*

How do you learn best? (check all that apply)*

By ear/listening

Reading music

Visual demonstrations

Hands-on practice

Other

Lesson Preferences

Preferred Instructor*

Bethany Ann

Calian Raine

Either

Lesson Duration*

Weekly

Every 2 weeks

Monthly

Lesson Duration*

30 minutes

60 minutes

90 minutes

120 minutes

After the initial lesson consult, a consistent lesson time will be agreed upon

Preferred Start Date*

Goals & Inspirations

What are your goals for learning music?*

What music are you loving right now (instrumental or otherwise)*

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