NEW STUDENT INFORMATION FORM: Come have a tour of our school, meet our instructors and make some new friends! Complete a preview submission form to experience a free Yamaha Group Class or (50% discounted) Private Trial Lesson. Music ignites all areas of childhood development and skills for school readiness! TESTIMONIALS Subject * Are You a Parent or Adult Student? * Parent inquiring for my child. Adult inquiring for lessons for myself. Parent Name First Name Last Name Student's Name * First Name Last Name Student's Date of Birth * MM DD YYYY * Male Female What grade is the student currently in (if applicable)? (This is for correct placement of group classes) What class type are you interested in? * Group Class Private Lessons If you chose Private Lessons- Which instrument are you interested in? Piano Voice Violin Viola Cello Double Bass Guitar Ukulele Bass Guitar Drums Flute Clarinet Saxophone Bassoon Trumpet Composition Sibling's Name PLEASE NOTE: This section is for siblings who would also like to enroll in lessons. You do not need to fill in this section if the sibling is not interested. First Name Last Name Sibling's Date of Birth MM DD YYYY Male Female (Sibling) What grade is the student currently in (if applicable)? (This is for correct placement of group classes) What class type are you interested in? Group Class Private Lessons (Sibling) If you chose Private Lessons- Which instrument are you interested in? Piano Voice Violin Viola Cello Double Bass Guitar Ukulele Bass Guitar Drums Flute Clarinet Saxophone Bassoon Trumpet Composition Primary Email (Main person to reach out to) * Primary Phone Number * (###) ### #### Secondary Email (Spouse, Grandparent, Relative) In the case that we cannot reach the primary contact. Secondary Phone Number (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about us? * Google Facebook Instragram Referred by a Friend - Please name friend in message box Which days are best to meet? * Additional Information? * Please include if beginner, intermediate, or advanced. If referred by a friend, please include the name of the enrolled student. If there are any other concerns or information about the student that we should be aware of, please let us know. Thank you! Thank you, We will reach out to you shortly! (Please note: Sometimes our reply emails may go into the spam folder, we are currently working on getting this fixed, don’t forget to check there.)
