Creative Arts Academy Instrumental Questionnaire

* fields are required

Student First Name: *

Student Last Name: *

Student S# (Leave Blank if Unkown):

Student School: *

Student Grade (Fall 2025): *

Parent Name: *

Parent Email: *

Parent Phone: *

Have you played an instrument before?: *

YesNo

What instrument do you play?: *

How long have you been playing?: *

Are you currently taking private lessons?: *

YesNo

If yes, for how long?:

What is the name of your current music teacher? (school and/or private): *

what is your ethnicity?: *

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