Private Lessons Inquiry Form

Thank you for your interest in private music lessons program at Fundamentals Music Academy!

Please fill out the form below, and we’ll be in touch to discuss availability, learn more about your child and their needs and next steps.

Student Information

Full Name

Birthday

Month

Day

Year

School Attending

Grade Level

School Attending (If Applicable)

Grade Level

Parent/ Guardian Information

Full Name

Phone

Email

Preferred Method of Contact

Phone

Email

Text

Address

Lesson Fomat

In-Person

Virtual

Time Preference

9am-12pm

1pm-3pm

3pm-5pm

5pm-7pm

Student Experience

Has the student had prior music lessons?

Yes

No

If yes, please describe previous experience (instruments, years of study, etc.):

Additional Information

What are your goals for music lessons? (e.g., skill development, fun, performance preparation, etc.

Is there anything you’d like us to know that will help us tailor the best experience for the student?

Does your child have any specic needs (academic, emotional, etc.) we should be aware of?

Any additional notes or questions for us?

Consent

I understand that submitting this form does not guarantee enrollment and that a member of the Fundamentals Music Academy team will contact me to discuss program details and availability.

I agree to the terms above.

Signature

Signature field is empty.

You could sign by adding your name as well.