My name is:
*
First Name
Last Name
I am this many years old:
*
My birth date is:
*
MM
DD
YYYY
I have access to these instruments, equipment, and facilities:
Prior Lessons?
*
Prior Lessons Description
If the student has had prior lessons, please describe the number of years or months, instrument(s), books and materials used, and level.
My long-term goals are:
I am considering:
*
Preferred Pacing
*
Leisurely
Faster
Very Fast
Accelerated
Not sure or would like to discuss
Accelerated & Advanced Options (Potential Interests)
Practice Plan & Expectations
*
Other Activities, Interests, and Conflicts
Availability for Lessons
*
Please list all the days and ranges of times you are available for weekly lessons (weekdays and weekends). Or for an introductory lesson if you have not already completed yours.
Additional Comments
Email
*
Phone
*
(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Thank you for completing the new and prospective music student questionnaire. Please be sure to complete one for each prospective student (sibling)!
We will be in touch as you complete each step toward enrollment in music lessons!
Laguna Niguel School of Music
