New Student Form

NAME________________________

Please list your address, telephone number, and any health concerns that I should know about.



If you are transfering from another studio, please list who your last teacher was and why you left.




Also, if you transferred, what were the last few pieces you worked on and/or what was the last book(s) you were working out of?




What type of music do you enjoy listening to?




What kind of music would you like to study in the future?




Where do you see music taking you in the future? Would you like to play in churches, jazz groups, rock groups, would you like to be a classical soloist or accompanist, or study music in college, and/or would you like to teach music someday?




What type of piano/keyboard do you have at home?




What other musical activites are you involved in (i.e. band, choir, etc.)?




What extracurricular activities are you currently involved in (this includes sports/groups that the student will eventually participate in even if this is the off-season)?