CMS Interest Form
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Thank you for your interest in music lessons at the Community Music School of Webster University. After completing the following interest form, we will contact you with more information about lesson registration. This is not a registration form and does not guarantee placement in music lessons.

1. Are you...

Are you... The parent/guardian of a prospective student

An adult student

Other (please specify)

*
2. What Instrument (or Voice) does the student plan to study?

What Instrument (or Voice) does the student plan to study?

3. Preferred Lesson Location

Preferred Lesson Location Webster Groves

Chesterfield

University City

4. What days/times do you prefer for lessons?

What days/times do you prefer for lessons?

5. Please describe your student's previous music experience (if any). What are your goals for music lessons for your student?

Please describe your student's previous music experience (if any). What are your goals for music lessons for your student?

6. Student's Full Name

Student's Full Name

7. Student's Age

Student's Age

8. Student's Grade in School

Student's Grade in School

9. Parent/Guardian's name

Parent/Guardian's name

*
10. Email address

Email address

11. Contact Phone Number (optional)

Contact Phone Number (optional)

12. Mailing Address (optional)

Mailing Address (optional)

13. Do you have any questions or special requests?

Do you have any questions or special requests?

CMS Interest FormExit this survey