New Student Inquiry Please enable JavaScript in your browser to complete this form.Contact InformationStudent Name *FirstLastParent/Guardian Name (If applicable.)FirstLastPhone Number *Email *How do you prefer to be contacted? *Phone call TextEmailAny of the aboveHow did you hear about us? *Word of mouthWeb searchSocial mediaPoster or pamphletOtherInterest & BackgroundWhat are you interested in? How to play an instrument? Singing and songwriting? Musical theater? Music theory? Artist development? Drawing? Rock, pop, country, folk, or funk band? Please describe! *What kind of learning format are you interested in? (Check all that apply.) *Private lessons (1-on-1)Semi-private lessons (2-3 students)Classes or groups (older children through adult)Workshops (older children through adult)Bands (rock, country, worship, etc.)If you're interested in private lessons, what time frame? *30 minutes60 minutesNot sureNAHow would you describe your knowledge and skills? *BeginnerIntermediateAdvancedPlease describe the student's experiences and background. What brings you to Steeple Street Music Academy? Have you studied music anywhere else? *AvailabilityPlease give us a few different days and times you are available.Monday *Tuesday *Wednesday *Thursday *Friday *Saturday *Thank you for your interest! Someone will get back to you soon.PhoneSubmit
