CONTACT / STUDENT INFORMATION

This is general background information that will help me to get you started on music lessons as quickly as possible. Please spend a few minutes answering these questions as accurately as possible. Parents of young children may answer the questions themselves, or in conjunction with your child.


Name *
Name
Phone Number
Phone Number
Street Address
Street Address
Gender
Previous Musical Experience: (Including any instrumental or vocal experience, where, and how long)
Tastes and Interests in Music: (what type of music do you enjoy, what would you like to be able to play, what are your musical goals, etc.)
What instrument are you interested in taking lessons on?
Which hand do you normally write with (this is important)---right or left ??
What is your weekly schedule like, in general. Be specific about Monday - Saturday. When are you able to take lessons?