Name *

First Name

Last Name

Phone

(###)

###

####

What instrument(s) are you interested in? *

Violin

Piano

Lesson Availability *

What days work best for lessons? Please check all that apply! You can include specific times if you like in the message box at the bottom of this page!

Monday

Tuesday

Wednesday

Thursday

Friday

Have you had and music lessons before? *

Yes

No

How many times a week will you strive to practice?

1-2 days

2-3

3-4

4+

Studio Acceptance *

Are you willing to do a meet in greet (in person or over zoom) to see if we are a good fit or would you be willing to do a limited number of trial lessons (4-6) before full acceptance into my studio?

Yes

No