New Student Interest Form

Thanks for your interest in taking private voice lessons with me.

Please fill out the form below, and I’ll be in touch soon to schedule your trial lesson.

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)