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Intake From
Child 1
Child 2 (optional)
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
*
Required
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
*
Required
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.
*
Required
Yes
No
Please ask me about the item specifically
Is you child okay with dogs? We have a medium sized stafford shire terrier
*
Required
Yes
No, please put the dog away for my child's lesson
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?
Submit
Thank you
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