The Rivers School Conservatory Application

The Rivers School Conservatory Application Form

333 Winter Street, Weston, MA 02493 | (781) 235-6840 www.riversschoolconservatory.com
Date

MonthDayYear
Date
Desired Start Date*
- Student Name*
  
  Given First NameLast Name
- Preferred Name/Nickname
  If different from Given First Name
- Birth Date*
  
  MonthDayYear
- Age*
- Gender*
  
  MaleFemaleNon-binary
- Race*
- Other Race not listed (optional)
- Ethnicity*
- Primary Instrument*
  Select the instrument you want lessons for.
- Please note: Due to high demand, students applying for Piano will be put on a waitlist for the next available opening. We thank you for your interest and your patience.
- Years Studied*
- Preferred learning style (violin/cello only):
  
  TraditionalSuzukiUnsure
- Current/Former Music Teachers
  If applicable
- Other Instruments
  Only fill this out if you want RSC lessons for a SECOND instrument.
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- School*
  If adult student, please write "NONE"
- Current Grade*
- If you are an adult student, please add your contact info here.
- Parent/Guardian 1 Name*
  
  First NameLast Name
- Parent 1 Relationship*
- Parent 1 Salutation*
  
  Mr.Mrs.Ms.Dr.
- Parent 1 Cell Phone*
  Format: (000) 000-0000.
- Parent 1 Home Phone
  Format: (000) 000-0000.
- Parent 1 Email*
  example@example.com
- Parent 1 Employer*
- Parent 1 Title*
- Parent 1 Business Phone
  Format: (000) 000-0000.
- Parent/Guardian 2 Name
  
  First NameLast Name
- Parent 2 Relationship
- Parent 2 Salutation
  
  Mr.Mrs.Ms.Dr.
- Parent 2 Cell Phone
  Format: (000) 000-0000.
- Parent 2 Home Phone
  Format: (000) 000-0000.
- Parent 2 Email
  example@example.com
- Parent 2 Employer
- Parent 2 Title
- Parent 2 Business Phone
  Format: (000) 000-0000.
- Please review the Student Policies here.
  
  By signing below, you are indicating that you have read and agree to the terms and policies listed.
- Signature*
- How Did You Hear About RSC?*
- Do you need to interview with RSC for private lesson placement?*
  
  I need to interview to be placed with a private lessons teacher.I already know who is teaching me and when my lessons/rehearsals will be, and it has been discussed with the teacher.
- Are you taking private lessons or ensembles?
  
  Private lessonsEnsemble(s)Both
- Interview Date
  
  MonthDayYear
  Date
- Teacher Name
  
  First NameLast Name
- First Anticipated Lesson or Trial Lesson
  
  MonthDayYear
  Date
- Day of Week
- Lesson Time
  
  Hour Minutes
  
  AM/PM Option
- Lesson Length
- Which Ensemble(s)/Class(es)
- Should be Empty:

The Rivers School Conservatory Application Form