FLUTE LESSON INFORMATION REQUEST - PROSPECTIVE STUDENTS

Please copy and paste the following outline into your email and complete the relevant fields.

First Name:
Last Name:

Address:
City:
Phone:
E-Mail:

Age:

Level: Unknown RCM II RCM IV RCM VI RCM VIII RCM IX RCM X RCM ARCT

Background: None School program Under 6 months 1 year 2 years 3+ years Other

Goals: No Specific Goals Play for Fun Become a Better Flutist RCM Exams
Prepare for an audition Prepare for University Other

I am available for lessons on:
Monday no am pm all
Tuesday no am pm all
Wednesday no am pm all
Thursday no am pm all
Friday no am pm all
Saturday no am pm all

My preferred date and time are:

I am interested in supplementary theory lessons. Yes No

I am interested in being part of a flute choir. Yes No

I have a Flute. Yes No

I would like to inquire about: Lesson Times Family Discounts Referral Incentives Lesson Duration Group Lessons Rates

Additional Questions:
How did you hear of the O'Neill Flute Studio?
Studio Website MusicStaff.com Privatelessons.com Other Website Newspaper Belle Air Music Walter's Music L'Atelier Grigorian Business Card Flyer
Word of Mouth