Student Inquiry Form

Student Name *

First

Last

Student Age *

Under 18
18 or older

Student Birthdate *//

Required for students under 18

Parent/Guardian Name *

First

Last

Required for students under 18

Student Gender

Female
Male
Other
Prefer not to say

Phone *

Please enter the best daytime number for us to reach you.

Email *

How did you hear about the Washington Conservatory of Music? *

Web search
Social media
Other website
Personal referral
Glen Echo Park
School flyer
Other flyer
Newspaper or magazine ad
Signs
Other

Please check all that apply.

Please specify details if possible.

This helps us communicate with potential students more effectively.

I am interested in... *

Private lessons (including traditional string lessons)
Suzuki violin, viola, or cello
Playing in an ensemble
More than one of these options

Instrument, Subject, or Ensemble

If you are interested in multiple areas of study, please list them all.

I am unsure and would like guidance in choosing an instrument, subject, or ensemble.

Number of years student has studied instrument or subject *

Examples of repertoire student has studied

Has there been a lapse in playing the instrument? If so, please explain.

Additional comments or information you wish to provide

Please include information about additional instruments the student plays, other musical experience, the learning style of the student, goals and expectations, special needs, etc.

Lesson Duration *

30 minutes
45 minutes
60 minutes
90 minutes
I'm unsure and need advice.

Teacher Requested

This is optional. Requests are subject to teacher availability.

What is your availability? *

For example: Mon 5-8 pm, Tue 3:15-6 pm, Wed 2-3 pm, Sun 1-2 pm. The more days and times you provide, the more likely we can find a great teacher/student match.

The student agrees to adhere to all school policies upon registration. Please refer to www.washingtonconservatory.org/enroll/policies/ for a list of policies. *

I have read and agree to Washington Conservatory of Music's policies.

Student photo release granted upon registration. *

For New or Prospective Students

Thank you for your interest in the Washington Conservatory of Music. In order for us to provide the best guidance and/or expedite the enrollment process, please take a few minutes to complete this form before calling our office. We will review your needs and contact you promptly.