New Student Enquiry Form

Please complete and submit the form below so we can get to know you a little better. Once your form is submitted, call our office at (508) 358-7835, to schedule a free consultation with our Director, Penny Wayne-Shapiro, who will help you choose the best program or instructor to match your needs and reach your goals.

Student's Name:*
Month/year of birth (not needed for adult students):
Name of Parent/Guardian (not needed for adult students):
E-mail (of Parent/Guardian or Adult Student):*
Preferred Phone:*
Secondary Phone:
Musical Experience:*
Area of Interest:*
What are the student's musical goals and ambitions, if applicable?
What are the musical goals and ambitions of the parent/guardian(s) for the student, if applicable?
What kind of teaching style do you think will work best for the student?
Is there anything else you think we should know in order to effectively place the student (e.g. learning style, special needs, gender preference of teacher)?
Please list other interests the student has (e.g. sports, dance):
Please list the days and time ranges the student is available for lessons:
How did you hear about Wayland School of Music?
Word Verification: