Private Music Lessons registration form

Violin, Viola, Chamber Music, Orchestra Music

Dr. Dan Zhang,

faculty of The Catholic University of America & Washington Adventist University

Studio Address: Elkridge, MD

dzhang@wau.edu

Website:dzviola.com

Student Name *

First

Last

Student date of birth *

Student's school and grade *

Do you play any instrument now? If yes, what it is? *

Previous music training Experience *

What instrument you would like to learn *

How did you hear about Dr. Zhang’s studio? *

Do you plan to study music in College? (High schooler’s only)

Parent Name *

First

Last

Relationship *

Parent Email *

Parent Phone *

What time are you available for lesson on Monday? *

What time are you available for lesson on Wednesday? *

What time are you available for lesson on Thursday? *

What time are you available for lesson on Friday? *

What time are you available for lesson on Saturday? *

What time are you available for lesson on Sunday? *

Click here to see Studio Policy

By checking the checkbox here, I have read and understand the Studio Policies for private lessons with Dr. Zhang. I will pay the tuition by the first lesson of the session. I will come to all scheduled private lessons and notify Dr. Zhang in case of an emergency where I must miss a lesson. *

Signature