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 Information
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*
Years Studied*
Preferred learning style (violin/cello only):

TraditionalSuzukiUnsure
Current/Former Music Teachers
If applicable
Other Instruments
If applicable
Address*

Street Address

Street Address Line 2

CityState

Zip Code
School*
If adult student, please write "NONE"
Current Grade*

Parent/Guardian 1 Information
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*
Parent 1 Home Phone
Parent 1 Email*
example@example.com
Parent 1 Employer*
Parent 1 Title*
Parent 1 Business Phone

Parent/Guardian 2 Information
Parent/Guardian 2 Name

First NameLast Name
Parent 2 Relationship
Parent 2 Salutation

Mr.Mrs.Ms.Dr.
Parent 2 Cell Phone
Parent 2 Home Phone
Parent 2 Email
example@example.com
Parent 2 Employer
Parent 2 Title
Parent 2 Business Phone

Submit Your Application
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: