Student's Name

First Name

Last Name

Name of Email Owner

Student's Age

Student's Pronouns

Does the student have access to either a piano or keyboard at their residence?

Do you provide permission for the student to participate in class photos to be used on the LK-Arts website and social media platforms?

Yes

Music Instruction History

How many years of music instruction does the student have?

Does the student have any dietary restrictions?

Scholarships are available. If interested (while funds are available), please fill out the choices below and email info@lk-artsacademy.com . Don't pay today for the class, LK-Arts will send a separate invoice that includes the scholarship amount.

Greetings,

Thanks so much for your interest in individual lessons. LK-Arts Academy will be reach out within 24 hours during normal business hours.

Thanks for your time!

LK-Arts Academy