New Student Intake Form

Name

Birthday

Month

Day

Year

Phone

Please tell me about your child's musical experience: study, performance, participation in groups, singing at home etc.

Please tell me about YOUR musical environment: any musicians or family members with a background in music in the home?

Do you listen to music in the home or car? If so, what kind of music do you enjoy listening to?

Do you have a piano at home?

Yes

Has your child expressed an interest to you in taking voice lessons?

Does your child already like to sing? If so, what kind of music does your child enjoy singing?

Is your child involved in any other activities? If so, please list them.

Does your child have any special learning needs you would like me to know about?

Are you willing to advocate for your child's practicing in a supportive, positive way?

Yes