Group Class Interest Form

Student Name *

First

Last

Student's Date of Birth *

Example: MM/DD/YYYY

Age of Student *

Gender *

Group Class of Interest *

Level of Experience *

Do you own/rent the instrument you plan on learning? *

Does the student have any special needs? *

If yes, please decribe:

Parent Name *

First

Last

Contact Phone Number *

Example: 480-895-0007

Contact Email *

Example: office@evsm.net

Preferred Method of Contact: *

How would you like to proceed? *

Email me the paperwork to enroll.
I'd like to pay for a one-time trial class. (One-time trial class prices vary from $15 to $25.)
I have additional questions, please contact me.

Please feel free to call us or come in to follow up!

How did you hear about us? *

If other, please explain:

If referred by another EVSM family, whom shall we thank?

Questions or Concerns

Website

Sorry, we're closed !