Name

First Name

Last Name

Age

Email Address

Phone

(###)

###

####

Instrument

Please briefly describe your musical experience, including experience on your instrument(s), band and/or performance history:

Do you read music?

Yes

A little

Tell us about your musical influences, artists you currently like and list a few songs you would be interested in playing:

How did you hear about us?

Please list the name(s) and contact info of your current music teacher(s) if any:

Scheduling, Please list all available times for you, this could highly affect your ability to get a teacher - the more options the better.

Please write a short paragraph about your musical goals for the next year

Do you play more than one instrument? if so please list

Do you sing?

What level you consider yourself instrumentally and/or vocally?

Are there examples of your playing I can hear? If yes, please share link

http://

Feel free to provide other details you think may be helpful to us to improve and make the most of your experience with Crossroads Music School

Lessons & Questionnaire