Cooper Voice Studio - Voice Lessons Intake Form

TELL ME ABOUT YOU!

This intake form will help me to learn more about your prior experience and your personal goals.

Be as prolific and specific as you wish!

Student Name

Student Birthdate

Student Email Address

Student Phone Number

Parent/Guardian Name

Parent/Guardian Email Address

Parent/Guardian Phone Number

Prior Private Voice Instruction? (If Yes, how long?)

Choir Participation? Voice Part?

Do you read music?

Yes, very well

Yes, somewhat proficient

No, not at all

Do you play other instruments? (Please list)

Musical Influences? What genres, styles, artists inspire you?

What do you love most about singing?

Please list School/Community performances (roles, recitals, concerts,etc.):

Repertoire: Please list titles/composers of solo pieces you have studied, performed, etc.

Goals: What do you wish to gain/improve from private voice lessons?

Questions / Additional Comments?

Thank you for taking the time to share your thoughts and information!

Looking forward to meeting you!