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Home
ABOUT US
Lessons
Piano
Little Pianist (Ages 4-6)
Guitar
Brass
Percussion
Ukelele
Strings
Voice
Woodwinds
Instrument Rentals
Performance Hall
Performance Hall Information
Performance Hall Rental Application
Instructors
Piano Instructors
Little Pianist Instructors
Guitar Instructors
Brass Instructors
Percussion Instructors
Strings Instructors
Ukelele Instructors
Voice Instructors
Woodwinds Instructors
Store
Policies & Forms
Tuition and Policies
Forms
Private Lessons Interest Form
Please enable JavaScript in your browser to complete this form.
Student Name
*
First
Last
Student's Date of Birth
*
Example: MM/DD/YYYY
Age of Student
*
18+
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3 and Under
Gender
Male
Female
Instrument of Choice
*
Please select your Instrument
Bass Guitar
Cello
Clarinet
Flute
Guitar
Piano - Little Pianist (age 4-6, 30 mins)
Piano (age 7+, 45 mins recommended)
Percussion (Drums)
Saxophone
Trombone
Trumpet
Ukulele
Viola
Violin
Voice
Other (not listed)
Experience
*
Beginner
Basic (less than 1 year)
Elementary (1 - 2 years)
Intermediate (3 - 5 years)
Advanced (6 years or more)
Would you consider 60-minute piano lessons with the Owner, focusing on jazz/pop/church music?
Not interested
Interested (we will contact you with more details)
Do you own/rent the instrument you are planning on learning?
*
Yes
No
Plan on Renting
N/A (Ex: Voice)
For Piano students, EVSM requires a minimum of an 88-key keyboard (full-size) in order to enroll. This is because smaller keyboards (76 keys or 61 keys) have poor sound and touch quality, and often don't register loud or soft sounds. Please indicate what type of keyed instrument you own and select below:
*
I have an acoustic (real) piano. It is my responsibility to keep it tuned and maintained for optimal lessons.
I have an 88-key keyboard, which meets the minimum requirements.
I have a smaller keyboard with less than 88 keys. I understand I can still schedule a free trial lesson, but I may need help purchasing a recommended 88-key keyboard or piano for lessons in order to enroll.
I don't have a piano or keyboard. I will purchase an 88-key keyboard or piano upon enrollment
IMPORTANT NOTE: For Intermediate and Advanced Pianists, having a higher-quality piano is highly recommended, in order to optimize lessons. The piano should have excellent touch and tone in order to bring out more expressive nuances in sound. Having a piano with high dynamic response (high contrast between soft sounds and loud sounds) is essential for continued musicianship development. Continuing lessons on an 88-key keyboard with poor touch and tone is not recommended at this level.
*
I understand.
Does the student have any special needs?
*
Yes
No
If yes, please explain:
Parent Name
*
First
Last
Contact Phone Number
*
Example: 480-895-0007
Contact Email
*
Example: office@evsm.net
Preferred Method of Contact
*
Phone
Email
Phone or Email
Desired Day/Time (select all that apply)
*
Mon 2:00pm - 4:00pm
Mon 4:00pm - 6:00pm
Mon 6:00pm - 8:00pm
Tue 2:00pm - 4:00pm
Tue 4:00pm - 6:00pm
Tue 6:00pm - 8:00pm
Wed 2:00pm - 4:00pm
Wed 4:00pm - 6:00pm
Wed 6:00pm - 8:00pm
Thu 2:00pm - 4:00pm
Thu 4:00pm - 6:00pm
Thu 6:00pm - 8:00pm
Fri 2:00pm - 4:00pm
Fri 4:00pm - 6:00pm
Fri 6:00pm - 8:00pm
Sat 10:00am - 12:00pm
Sat 12:00pm - 2:00pm
Sat 2:00pm - 4:00pm
I'm flexible - anytime during open hours
We encourage clients to be flexible when setting up lesson days/times. Once enrolled, you can speak with your instructor to switch to a more preferable timeslot if possible. EVSM is open MON-FRI 2:00pm - 8:00pm, SAT 10:00am - 4:00pm, SUN closed
Please explain if you have specific scheduling questions or concerns:
a student to
How would you like to proceed?
*
Please contact me to set up a free 30-min trial lesson.
I want to start immediately, contact me to schedule.
I have more questions. Please contact me.
Please feel free to call us or come in to follow up! (Trial lessons are limited to 1 per student per year.)
How did you hear about us?
*
Google
Website
Email
Referral
Driving By
Other
If other, please explain:
If referred by another EVSM family, whom shall we thank?
Questions or Concerns
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