Prospect Questionnaire Form

Prospect Questionnaire – Deya School of Worship

Please note: Submission of this application does not guarantee acceptance as a student. Once your application has been received, you will be contacted to discuss suitability and to confirm an available lesson day and time. Upon acceptance, a non-refundable new student registration fee of $60 will be due, along with monthly tuition payments at the following rates: $25 per 30-minute lesson or $45 per 60-minute lesson.
Name of guardian

First NameLast Name
Student Name

First NameLast Name
I am completing this form on behalf of..
If other please explain
Student Birth Date

MonthDayYear
Best Contact Email
example@example.com
Best Phone Number
Format: (000) 000-0000.
When are you interested in starting lessons?

MonthDayYear
Date
Type of lessons
Please explain your previous experience with the type of lessons you're interested in
Are you a born again Christian?
If yes, please share your testimony below
Select day(s) that could potentially work for lessons weekly
What time frame is best for you
Are you okay with lessons being faith based, no secular music?
Should be Empty:

Prospect Questionnaire – Deya School of Worship