Student Information Form (Adult) Adult Student Information Form Name(required) Email Address(required) Birthdate(required) Phone Number(required) Residential Address(required) Full-time Student?(required) Yes No Uncertain Have you previously taken any private music lessons?(required) Yes No Have you ever participated in choir, band, or orchestra?(required) Yes No For non-student, are you a musician?(required) Yes No Maybe If yes, which instrument(s) do you play, and for how long? Have you ever composed music? Yes No Maybe Which lesson do you wish to take?(required) Instrumental Lesson Voice Lesson Theory/Composition Lesson History Lesson Lesson Length(required) 30 minutes 1 hour For instrumental lesson, which instrument would you like to learn? Music Theory Students Only Individual Group of 2 Group of 3 Pay by month Pay by course Day Preference: Please indicate the days you are available for lessons. We cannot guarantee to offer the day of your request, but we'll try our best to accommodate it. (required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday Time Preference: Please indicate the time slots you are available for lessons. We cannot guarantee to offer the time of your request, but we'll try our best to accommodate it. (required) 9 AM – 12 PM (EST) 12 PM – 3 PM (EST) 3 PM – 6 PM (EST) 6 PM – 9 PM (EST) Does any of the followings apply to you? Current OSU student Former OSU student Current Capital U student Former Capital U student Other Is there anything else you'd like to tell us? Submit Δ
Brookside Music Studio