Registration

Student Name *

First

Last

Sibling Name *

First

Last

Gender *

Male Female

Sibling Gender *

Male Female

Years Playing (if any) *

Sibling: Years Playing (if any) *

Interested in: *

Flute Lessons Piano Lessons Dalcroze based musicianship/improvisation

Sibling - Interested in: *

Flute Lessons Piano Lessons Dalcroze based musicianship/improvisation

Do you participate in a school/community band/orchestra/choral program? *

Yes No

Sibling - Do they participate in a school/community band/orchestra/choral program? *

Yes No

What lesson length are you interested in? *

30 mins 45 mins 60 mins other (please specify in the comment section)

Sibling - What lesson length are they interested in? *

30 mins 45 mins 60 mins other other (please specify in the comment section)

Do you own a flute or piano? *

Flute Piano Both

Sibling - Do they own a flute or piano? *

Flute Piano Both

Register for flute, beginning/intermediate piano & musicianship lessons for all ages: