4 - Intake Form | Music With Miss Nata

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Intake From

Has your child/children had any type of music instruction before? this includes apps or videos.

Does your child/children yet own the instrument? Or is there access to one at home? (Doesn't apply to voice)

Please select your preferences regarding educational tools

My child already owns an Ipad and I would consider allowing them to use it for educational purposes

My child already owns an Ipad and I would consider purchasing subscriptions for educational purposes

I'd like my child's songs printed on paper and for music to be screen free

Please select your preferences about content & censorship

I would like my child/children to learn wholesome traditional songs

I would like my child/children to learn songs from our religion/church

Pop/Rock and other music is fine but only songs that have a healthy, positive message

I am open to whatever they like. Swear words can be replaced if the song is overall ok

Do you or your partner play the instrument your child/children are enrolled for? This can be helpful to know when sharing goals and target skills.

Is it ok to give your child prizes? They are typically earned over a few months and are all music related items.

Yes

Please ask me about the item specifically

Please select your child/children's preferred learning styles

Read/Write

Auditory

Visual

Kinaesthetic

I am not sure

Please list a minimum of 3 songs that your child/children like. (3 per child)

Is there anything else you'd like me to know?

Thank you

Music with Miss Natalie

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