Registration | Valley Music Hub

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Start Your Journey

Welcome to Valley Music Hub! We are here to help you find your next musical path. Please fill out and submit the questionnaire below, so we can best help match you with the right teacher and lesson experience.

New Student Questionnaire

Student Information

(Fields with an * are required)

*Name

Age (if under 18)

Parent/Guardian Name (if applicable)

*Email

Phone

Musical Interests

What instrument(s) are you interested in studying?

Have you taken music lessons before?

No, I'm a complete beginner

Less than 1 year

1 - 3 years

3 - 5 years

5+ years

What styles of music are you interested in? (Check all that apply)

Rock

Pop

Jazz

Blues

Classical

Country

Folk/Acoustic

R&B/Soul

Musical Theater

Songwriting

Other

Who are some of your favorite artists, bands, or musicians?

Your Goals

What would you most like to accomplish through lessons? (Check all that apply)

Learn an instrument from the beginning

Improve my current playing

Learn to play favorite songs

Learn to read music

Improve improvisation

Music Theory

Prepare for school band/ensemble

Prepare for auditions or performances

Songwriting/composition

Play with other musicians

Just have fun and enjoy making music

Other

Is there anything specific you'd like your teacher to know about your musical goals?

Scheduling

Preferred Lesson Package

One 30 - minute lesson ($45.00)

One 45 - minute lesson ($67.50)

One 60 - minute lesson ($90.00)

Four 30 - minute lessons ($180.00)

Four 45 - minute lessons ($270.00)

Four 60 - minute lessons ($360.00)

Preferred days/times

How often would you like lessons?

Weekly

Every other week

Not sure - I'd like a recommendation

Thank you!

We look forward to helping you on your musical journey! A few more things:

How did you hear about Valley Music Hub?

Friend

Google

Facebook

Instagram

School

Community Event

Flyer/Poster/Local Ad

Other

If someone referred you, who can we thank?

253 Bank Street, Seymour, CT

(203) 513-9771

valleymusichub@gmail.com

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