GUITAR STUDENT REGISTRATION FORM
To print this form, click FILE, then PRINT in your Internet browser menu. Mail form to:
A+ Music Studios
P.O. Box 241204, Apple Valley, MN 55124
Call 952-322-2520 or 612-710-0800 to Register by Phone
DATE:__________________________
STUDENT NAME:_______________________________________________________
ADDRESS:_______________________________________________________________________________________________________________
CITY/STATE/ZIP:__________________________________________________________________________________________________________
EMAIL:___________________________________________________________________________________________________________________
We require an e-mail address as we communicate via e-mail to our students and their families regarding tuition payment reminders, holiday closings, etc.
HOME PHONE:__________________________________________
ALTERNATE PHONE: ____________________________________ TYPE: Cell ____ Work ____
ALTERNATE PHONE: ____________________________________ TYPE: Cell ____ Work ____
STUDENT D.O.B: ______________________________
PARENT(s) NAME: (If student is a minor)____________________________________________________________
NAME OF A+ MUSIC STUDIOS INSTRUCTOR CHOSEN: __________________________________
LIST THE TIME SLOT THE INSTRUCTOR HAS RESERVED FOR YOU: DAY: _____________TIME:_________
LESSON LENGTH: 30 min. _____ 45 min. _____ 60 min.______
GUITAR(s) CURRENTLY OWNED: Steel String______ Electric ______ Acoustic/Electric______ Bass _______ Classical (nylon-string)_______ None_______
DO YOU READ MUSIC: Yes _____ No _____ GUITAR TABLATURE: Yes _____ No _____
Circle the playing STYLE(s) you would like to learn: Pick Fingerstyle Strumming chords
HOW LONG DO YOU PLAN TO STUDY: ______ months ______ years
a) Specific songs you would like to learn (title and composer/artist/group)
b) Artists or groups whose music you would like to learn
1.:_______________________________________________________________________________________________________________
2.:_______________________________________________________________________________________________________________
3.:_______________________________________________________________________________________________________________
4.:_______________________________________________________________________________________________________________
5.:_______________________________________________________________________________________________________________
6.:_______________________________________________________________________________________________________________
WHERE DID YOU HEAR ABOUT US?
Brochure at: _____________________________________________________________
Poster/Business card at: __________________________________________________
Printed advertisement in__________________________________________________
Yellow Pages: Frontier____ Qwest Dex____ Verizon____ Yellow Book_____
Internet Search: _____Referred by__________________________________________