Young Musician Institute Inquiry Sheet
Name:
Name of Student:
Age of Student:
Address:
City:
State:
Zip Code:
Home Phone:
Business Phone:
Best Time To Call:
Email Address:
Instrument of Interest:
Bass
Clarinet
Drums
Flute
Guitar
Piano
Viola
Violin
Voice
Dance
Chorus
Other
WHEN WOULD YOU LIKE LESSONS?
Class Time Preference:
Weekday
Evening
Saturday
Camp Interest?
Yes
No
FOR STUDENTS AGES 6 MONTHS - 5 YEARS (click one)
Kindermusik:
Villages
Our Time
Imagine That
Young Musician
Not Applicable