New Student Inquiry Form:

Q1. Last Name *

Q2. First Name *

Q3. Are you filling out for someone else? *

NO YES

Q4. Email *

Q5. Phone Number: *

Q6. Address *

Q7. Instrument: *

Classical Piano Jazz Piano Classical Vocal Contemporary Vocal Composition Guitar Saxophone Clarinet Flute Other

Please check at least one checkbox

Q8. Preference of in-person or remote lesson? *

In person Remote

Q9. Would you like to start immediately? *

YES NO

Q10. Availability for Trial Lesson (Please highlight the box of every interval you can be available for a lesson) Priority times *

Week	9 am	10 am	11 am	Noon	1 pm	2 pm	3 pm	4 pm	5 pm	6 pm	7 pm	8 pm
Mon
Tue
Wed
Thu
Fri
Sat
Sun

Please check at least one checkbox

NYCM offers a free 30 minute trial lesson for all new students. This allows the student to determine if the instructor is a good fit before committing to a lesson package.

A $50.00 deposit is required before the lesson, which can be refunded to you afterwards or applied as credit towards a lesson package. If the student does not show up last minute for the lesson, the deposit is non-refundable.

Please let us know of your availability below so our team can get back to you with timing options.

Q11. If you are not a beginner, please let us know of your experience below:

Q12. How did you hear about us? *

Q13. Is there anything else we should know when matching you with an instructor? (ex. goals, preferences etc.)

PROBLEM Q7 ↑ PROBLEM Q10 ↑