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Application Form


After reviewing your application a Conservatory representative will contact you regarding an audition date. (Instruction limited to Piano, Violin, Viola, and Cello) 

Name
Last Name First Name Middle Name
Birth date mm/dd/yy format
What instruction are you interested in?


Would you like to take music theory? Yes    No    Maybe
School
Home Address
Address
City State Zip
Day Telephone
Evening Telephone
Cell Telephone
Student's E-Mail
Parent's E-mail
Parent/Guardian
Parent/Guardian Telephone
Emergency Contact
Emergency Contact Telephone

Lesson History
Please provide a brief description of the prospective
student's musical experience and their playing skill level
and the names of their current and former music teachers.
If the student is a beginner, please indicate.

What times would you prefer your lessons?

  First Choice Second Choice
Weekdays
Weeknights
Saturday

Audition dates to be announced.

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