MSS SIF 2024-25 | TheMusicStaffStudio

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The Music Staff Studio

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performing arts academy

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Private Lessons & Group Classes
Student Information Form 2024-2025

Student's name

First name (parent)

Last name (parent)

Address

Phone (parent)

Lesson day/time preferred

Instrument or class

Preferred instructor (if applicable)

School

Grade

Birthdate

Family information (include siblings if applicable)

Let us know about the student's musical interests (inspirations, favorite bands/singers, genres of music, etc.)

Student personality

Extroverted

Introverted

Extroverted with introverted tendencies

Introverted with extroverted tendencies

Other

Student handedness

Right-hand dominant

Left-hand dominant

Ambidextrous

Other

Student vision

Contacts

Glasses

Not applicable

Other

Special needs or concerns/learning uniqueness

Student medications

Reading ability

Mathematical ability

Dance/movement experience

Musical experience

Registration fee (private students only)

Registration fee20

Email (parent)

CONTACT INFORMATION

Jamie Bricker, Founder and Director

615.351.1769

jamie@themusicstaffstudio.com

STUDIO ADDRESS

5606 Brookwood Pl.

Nashville, TN 37205

BILLING ADDRESS

204 Olive Branch Road

Nashville, TN 37205

We are a family operated school.

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Private Lessons & Group Classes Student Information Form 2024-2025

Private Lessons & Group Classes
Student Information Form 2024-2025