Student First & Last Name*

Parent/Guardian First & Last Name (if different from student)

Phone Number*

Your email*

Age of student (our students range from ages 4-90!)*

Gender identity of student*
MaleFemaleNonbinaryPrefer not to answer

Which instrument(s) are you interested in? (Select all that apply!)*
PianoViolinViolaCelloDouble Bass (acoustic)Guitar (acoustic)Guitar (electric)Bass Guitar (electric)UkuleleFlute/PiccoloOboe/English HornClarinetSaxophoneBassoonFrench HornTrumpetTromboneTuba/EuphoniumPercussionDrumsetVoiceCompositionSongwriting

Do you either own or have access to an instrument at home?*
YesNo

Do you have a specific instructor in mind? If so, please select their name here. If not, please select "no preference" and we will be happy to make a recommendation!*
---Bassoon - Kathy StockmasterCello - Kathleen MonroeCello - Paul BergeronClarinet - Jennifer MagistrelliDouble Bass - Bryan ThomasFlute - Stephanie Carter DennisFrench Horn - Laura MakaraGuitar - Charlie TrentaGuitar - David McHenryGuitar - Tom RayOboe - Marty NeubertPercussion/Drums - Stephen KlunkPercussion/Drums - Sunny TablerPiano - Helen HuPiano - Daniel SpearmanPiano - Emilie HsuPiano - Jingfu PengPiano - Ruth LoganPiano - Sarah BrosvicPiano - Sijia WangPiano - William HamiltonSaxophone - Sarah MiracleTrombone - Max BradyTrumpet - Garrett FolgerTuba - Neal ChipreanViolin - Abbey McLaughlinViolin - Jessica SchmidtViolin - Paul HalberstadtViola - Esther NahmVoice - Hannah Jencius FlowerVoice - Kailyn MartinoVoice - Natalie ButchkoVoice - Marley Lieberman

Which day(s) of the week are you available to schedule lessons? (Please check all that apply)*
MondayTuesdayWednesdayThursdayFridaySaturdaySunday

How much experience does the student have with this instrument?*
---I am a beginner and excited to get started with my first instrument!I am a beginner on this instrument, but I have prior experience with another instrument.I have played this instrument before and consider myself beginner or intermediate.I have played this instrument before and consider myself advanced.

What type of instruction are you interested in?*
---I would like to have in-person lessons at the Aurora School of Music building.I would like to have virtual lessons over Zoom.I have no preference - both of these work for me.

Thank you for completing the inquiry survey! We look forward to meeting you soon! Please use the space below to note anything else you would like us to know -- Any specific goals you plan to work on? Any specific scheduling concerns? Any medical or sensory issues we should be aware of? Any additional questions we can answer? Thank you for your interest in the Aurora School of Music!