Studio Arietta - Enrollment Form


	Enrollment Form For the fastest and most complete response please fill out as much of the form as possible. This will give me the best idea of what you are looking for. Parent Name: Student Name: E-mail: Phone: Address: Zip: Instrument: (One or more may be chosen) Voice: Piano: Violin: Age of student: Grade in school: Student is enrolled in: Public School: Private School: Home School: Other: Experience: If your child has studied previously, please state the reason for discontinuing lessons with former teacher: I would like to enroll in: Private Lessons: Music Appreciation Class: How soon do you plan on starting lessons? Immediately: 1-3 Months: I am just requesting more information right now: Please check each day that you have available for lessons: Monday: Tuesday: Wednesday: Thursday: Friday: Please check what times of day that you are available for lessons: 9:00AM - 11:00AM 11:00AM - 1:00PM 3:00PM - 4:00PM 4:00PM - 5:00PM 5:00PM - 6:00PM Where did you hear about Studio Arietta? Search Engine - Please Specify: I was referred - By: Other: Please tell me more about you and your child. Include why you have decided to enroll your child in lessons, information about your child's desire to take lessons, and the musical goals and expectations of both you and your child.

Enrollment Form