From the Inside Out Music Studio

APPLICATION FORM

NAME OF STUDENT_____________________________________________________________________

NAME OF PARENT______________________________________________________________________

ADDRESS_____________________________________________________________________________

PHONE NUMBER(S)_____________________________________________________________________

EMAIL________________________________________________________________________________

STUDENT AGE/GRADE_____________________      STUDENT BIRTHDATE__________________________

PRIOR MUSIC LESSONS?  YES   NO

IF SO, WHAT INSTRUMENTS, HOW LONG AND WITH WHO (IF YOU ARE COMFORTABLE SHARING)?_________________________________________________________________________________________________________________________________________________________________

TYPE OF CLASS YOU ARE SIGNING UP FOR___________________________________________________

TUITION PAYMENT METHOD PREFERED (Circle One):      Year   Semester    Month 

Which other classes might you be interested in the future?

Music Play (0-3)      String Instrument Class (6+)      Adult Music Classes

Please tell me anything about the student’s musical environment, interest in lessons, special needs they might have, or anything else you might like to share._________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  • Registration Fee of $10 due with application to reserve your spot.  
  • Materials fee due by first lesson.  
  • For 2016-2017, Lessons will be scheduled on Mondays first, and then Thursdays after Mondays are full.  If a Major Holiday falls on a Monday or Thursday, Lessons will be on Tuesday for that week.  THERE ARE 36 WEEKS TOTAL OF LESSONS.  SEE CALENDAR FOR DETAILS.


I have read the policies and agree to abide by them:

Sign _____________________________________________ Date _________________ Print ______________________________________________  


Please print this and fill it out if you are interested in lessons and turn in with your registration fee.

Can be sent to: Renee Knutson 4031 County Road N, Florence, WI 54121 or given in person.


I have a Facebook page: From the Inside Out Music Studio. Please Like that page.  I’ll use it to communicate general information to students.

I also have a website: http://insideoutmusic.mymusicstaff.com/Home. Please visit for policy information, to contact me or to share with your freinds and family.