Trial Lesson Form

Trial Lesson

Welcome! Please read & complete the following form. A lesson coordinator will email you once we've received your form. Thank you.
Each new student begins with a paid trial lesson.

Trial lessons are designed to:
1. Learn about a student's connection to music, their interests, and current learning needs
2. Offer teacher recommendations and teaching strategies
3. Determine student placement in our program or recommend a more suitable program/teacher outside of Play Music
There is no committment to enroll in our lesson program.

Each trial lesson is $65, which includes 30-minutes of instruction + 15-minute parent-teacher discussion by phone.

Please note, a parent/guardian/caregiver must be present on the premises during the entire lesson.

Trial lessons are available at student's homes and online.
Basic Info

Please fill out the form for each student taking a trial. For multiple students, use the additional fields to submit your info.
Student Name #1*

First NameLast Name
Birth Date*

MonthDayYear
School Grade as of this fall*
Musical Instrument of Choice*
Student Name #2

First NameLast Name
Birth Date

MonthDayYear
School Grade
Musical Instrument of Choice
Student Name #3

First NameLast Name
Birth Date

MonthDayYear
School Grade
student # 3
Musical Instrument of Choice
Parent or Guardian Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Has the student taken lessons or classes before? *

YesNo
If yes, please describe prior musical experience
Do you own any musical instruments? If so, please specify. *
For in-home piano lessons, a keyboard or piano must be available.
Any learning needs or special considerations?*
Any allergies or medical issues we should be aware of?*
Location & Availability
Trial Lesson Availability & Location

Please fill out the day and time that works best for your schedule.
Lesson Location*

OnlineStudent's Home
Preferred Day and Time*
Ex. Mondays 4p-6p
Lesson Date (first choice)*

MonthDayYear
Lesson Date (second choice)*

MonthDayYear
How did you hear about us?*

Search EngineFlyerWebsite, i.e. Yelp, Park Slope Parents, etc.FriendOther
Should be Empty:

Trial Lesson

Basic Info

Location & Availability