Prospective Student Application Form

If you are interested in signing up with Concept Music, please fill out the following form, and we will get back to you as soon as we are able. Please note that by filling out the form you are not committing to study with Concept Music. This is just an easy way for us to start off the conversation with some basic knowledge about you.

Full Name:

Name of Parent (if student is under 18 years old):

City of residence:

State:

Phone:

Email:

Tell us a little about you (the prospective student) and your goals and personality. Why do you want to study piano?

What is your previous musical experience? Have you played any other instruments?

If you’ve played piano in the past please give specifics including repertoire.

Type of instrument (if you don’t yet have a piano/keyboard, Concept Music can advise you on getting a new or used instrument that will suit your needs at the best price through various local merchants):

How did you hear about Concept Music?

What is your availability? What are your preferred lesson times?

Do you have any other questions or concerns? Is there anything that you feel would be helpful for us to know?