Lesson Scheduling Form

Your Name *

First and Last Name

Student Name (if you're not the student)?

First and Last Name - list multiple for more than one child

Email *

Phone Number *

Your Location - City and State *

Let us know where you are located - for online lessons it will help us schedule lessons at appropriate times for your time zone

What instrument would the lessons be for?

Multiple instruments are fine... You can just list them out.

Is this for a free trial lesson or a rescheduled lesson? *

Trial Lesson

Rescheduled Lesson

Would lessons be for you or your child (or both)? *

My Child (or children)

For Me

What questions do you have about our lessons? *

Let us know about any questions, comments and concerns you may have about anything related to learning to play an instrument or lessons.

Current age of child or children? *

What are your child's top 3-5 artists in their musical playlists (even if they are really young we want to know what they like to listen to)? *

What would they like to be able to to on their instrument in one year (or you like them to be able to do if they are under 9 years old)? *

Tell us about your child's personality. *

Tell us about your child's prior music experiences.

Who are Your Top 3-5 Artists You Listen to Now? *

What Would You Love to Be Able to Play on Your Instrument in One Year? *

How Often Would You Like to Practice Each Week Once You Start Lessons? *

If You've Played in the Past, What Have You Struggled With? What Would You Like to Improve in Your Playing?

What questions do you have about our lessons?

Is this a one-time schedule request for this week or long-term request? *

This week only

I'd like this to be my lesson time moving forward

Let us know if you want this to be a permanent lesson time

Notes

Let us know which date/lesson this date is in place of. If there are any other details we should know you can enter here.

CMA