KEY TO CHANGE NEW STUDENT APPLICATION

Thank you for your interest in our String Studio. Please consult our website for available class times before filling out the entire application. Only completed applications will be considered for admission into our program. We look forward to working with you soon.

STUDENT INFORMATION

Student First Name

Student Last Name

Household Primary Email

Household Email

Household Preferred Phone

Household Phone Number

Current Grade

School

Other School

DEMOGRAPHIC INFORMATION

Race

Gender

Date of Birth

LESSON INFORMATION

How long have you played the violin/viola?

Do you rent or own your violin/viola?

RentOwn

Does your school have an orchestra program?

YesNo

Are you a participant in the orchestra?

YesNo

Please briefly describe your music experience

Please tell us why you want to take violin/viola lessons

Do you have school or extracurricular activities that may pose a potential conflict with enrolling? If so, explain your scheduling conflicts: (Please note that more than three unexcused absences will result in the termination of lessons for the semester)

SCHEDULING DETAILS

Key to Change offers private lessons as well as group violin classes. Private lessons are one-on-one lessons with the instructor, while group classes may have up to ten students working with the instructor at the same time. Please indicate your availability below:

One-Hour Private Lessons (please check all that apply)

Thursday Private, Renton HS, 2:30pm

Yes

Thursday, Private, Renton HS, 7pm

Yes

Thursday, Private, Renton HS, 8pm

Yes

**Please note, all private lesson students are required to attend Studio Class on Wednesdays at Renton HS (6:30-8pm).

Group Lessons (Please check all that apply)

Monday and Thursday, Group Lessons, Renton HS, 3:30-4pm (2 or more years playing experience)

Yes

Monday and Thursday, Group Lessons, Renton HS, 4-5pm (high school students only, 3+ years playing experience and/or permission from instructor if an advanced level middle schooler)

Yes

Monday and Thursday, Group Lessons, Renton HS, 6-7pm (2 or more years playing experience, middle and high school students welcomed)

Yes

Tuesday and Friday, Group Lessons, Mill Creek MS, 5:30-6:30pm (high school students only, 3+ years playing experience and/or permission from instructor if an advanced level middle schooler)

Yes

Tuesday and Friday, Group Lessons, Mill Creek MS, 7:30pm (Beginner violin up to 2 years playing experience)

Yes

Tuesday and Thursday, Group Lessons, Renton High School, 2pm (0-2 years playing experience)

Yes

PARENT/GUARDIAN INFORMATION

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Preferred Email

Email address

Parent/Guardian Preferred Phone

Parent/Guardian Phone Number

Household Mailing Street

Household Mailing City

Household Mailing State

Household Mailing ZIP/Postal Code

HOUSEHOLD INCOME

Please use the chart below to answer the questions below

Number of household members?

Household category

ADDITIONAL INFORMATION

Additional questions, comments, or concerns: