Music Ministry Student Application Form
Thank you for your interest in our music program. Please complete this short form so we can learn more about the student and determine whether our current offerings may be a good fit. We are currently focused on serving students in and around the Kingwood area.
Contact Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Who is completing this form?
*
Parent / Guardian
Student
Other Family Member
Student Information
Student Full Name
*
First Name
Last Name
Student Age
Student Age Group
5–7
8–10
11–13
14–17
18+
Location
What general area do you live in?
*
Kingwood
Humble
Atascocita
Porter
New Caney
Houston – Northeast
Houston – Other Area
Other
Would you be able to attend lessons or music activities in or near Kingwood?
*
Yes
Maybe
No
How far are you willing to drive for lessons or music activities?
*
Under 10 minutes
10–20 minutes
20–30 minutes
30+ minutes
Music Interest
What is the student interested in learning?
*
Piano
Guitar
Voice / Singing
Drums / Percussion
Violin / Strings
Music Theory
Songwriting
Not Sure Yet
Other
Other
What is the student’s current experience level?
*
Complete Beginner
Beginner
Some Experience
Intermediate
Advanced
What are you hoping the student gains from the program?
*
Learn an instrument
Build confidence
Improve current skills
Creative expression
Group involvement
Other
Other
What days or times usually work best?
*
Weekday Afternoons
Weekday Evenings
Saturday Mornings
Saturday Afternoons
Flexible
Final Question
How did you hear about us?
*
Website
Friend / Family
Church
School
Social Media
Community Event
Other
I understand that submitting this form does not guarantee immediate placement in a class or program.
*
Yes
Submit
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