First Name: Last Name: Address: Home Phone: Cell Phone: E-mail:
DOB (for students under 25 years old): Instrument: Pianists: Type/Brand/Instrument at Home: Availability (Mon-Sun, 9am-10pm, as precise as possible, please):
Previous experience with your instrument, music or other performing arts: Which musical genres (Classical, Jazz, Pop, etc) are you interested in? Which learning styles (reading notation, reading tablature, learning by imitation or by ear) are you interested in? Anything else we should know about? Where did you hear about Rubato Music School?
First Name: Last Name: E-mail: Cell Phone: Relationship w/ Student:
I have read and agreed to the school's policies.
