Application for Lessons and Ensembles

Please complete the form below to apply for lessons or classes at the Conservatory Preparatory Division or download an application (PDF) and return it to us.

Personal Information

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Student Name
Last	First	Nickname
Parent Name (minor students only)
Last	First

Address
City	State	ZIP

Daytime Phone	Evening Phone
Birth Date (for minor students)	Email
How did you hear about the Conservatory Preparatory Division?

Enrollment in Private Lessons

Complete this section only if you are interested in private lessons.


Instrument (or voice)	Previous Years of Study
Are you currently taking lessons? Yes No
Preference Traditional Jazz
Please list five possible days and times you prefer for lessons.

Enrollment in Music Classes

Please note that classes are only offered when minimum enrollment requirements are met.


Please contact me about the next session of: Japanese Taiko Drumming Class (Beginning class: 1st grade and up; Mixed level: 12 yrs. and up) Monday evenings Beginning Voice Class for Adults: : Tuesday evenings, 7:10 to 8 p.m.