Enrollment Form

If you or your child is seriously interested in taking lessons from Faith Christian Music Studio, please fill out the following form:

Parent or Guardian Name (required)

Student Name (required)

Student Age (required)

Student Grade (required)

Address (required)

City (required)

State (required)

Zip Code (required)

Email (required)

Home Phone

Cell Phone

Reasons for Enrollment

Type of Lesson

Lesson Length

Instrument Available to Student for Daily Practice

Type of Schooling

Best Day for Piano Lessons

Best Time for Lessons

Health Condition that Teacher Should be Aware Of
(Asthma, ADD, Epilepsy, etc.)

How did you hear about FCMS?