4.3 Enquiry Form - Stafford

Forte School*
Name*

First NameLast Name
E-mail*
Mobile/Phone*
Who are the lessons for

Myself or an AdultChild
Student's Name

First NameLast Name
Child's age
What would you like to learn?

Piano/KeyboardGuitarSinging/VoiceViolinHarpSaxophoneUkulele
What sort of guitar do you have to play on at home?

Acoustic (Steel strings)Acoustic (nylon strings)ElectricBassHaven't got one yet
What sort of piano/keyboard do you have to play on?

Acoustic PianoElectronic PianoKeyboardOrganHaven't got one yet
Do you have a harp to play on at home?

YesNo
Do you have a violin to play on at home?

YesNo
Do you have a saxophone to play on at home?

YesNo
Do you have a ukulele to play on at home?

YesNo
What day/s are best for you?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What time of day is best for you?

After SchoolDuring the dayIn the evening
Just out of interest, how did you hear about Forte?
Today's Date

DayMonthYear
Have an instrument?
Should be Empty: