Student's Name *

First Name

Last Name

I would like to study (check all the apply)

Piano

Voice

Brass

Guitar

Drums

Singing Class

Piano Class

Skill level

Beginner (no prior musical instruction)

Beginner 2 (3-6 mos. of musical instruction)

Beginner 3 (7-12 mos. of musical instruction)

Early Intermediate (1-2 years of musical instruction)

Intermediate (3 years of musical instruction)

Late Intermediate (4 years of musical instruction)

Advanced (5 + years of musical instruction)

Which lesson location do you prefer?

South Minneapolis (Nokomis Heights Lutheran Church 5300 10th Ave. S., Minneapolis, MN)

North Minneapolis (Redeemer Lutheran Church, 1800 Glenwood Ave., Minneapolis, MN)

St. Paul, MN

Are you and your family seeking a scholarship at this time?

Yes, we are seeking a scholarship.

No, we are not seeking a scholarship at this time.