New Student Intake Form | Jessica Walch

Welcome to the voice studio! Please fill out the following form and I will be in touch shortly!

Student Name(required)

Student Age(required)

Email(required)

Phone(required)

Parent's Name (if student is under 18)

Parent's Phone (if student is under 18)

Parent's Email (if student is under 18)

Lesson Length Desired(required)

Have you studied voice before? If so, with whom and for how long?(required)

Can you read music?(required)

What are your performance goals for your voice? What brings you to voice lessons?(required)

Please indicate ALL of your availability for voice lessons (Monday through Friday, 10am - 9pm)(required)

Any past voice injuries or vocal concerns such as acid reflux, TMJ, hoarseness, etc? Any other relevant health concerns?(required)

Is there anything else you feel I should know?(required)