Thank you for your interest in the Concordia Music Conservatory! Please complete and submit the form and we will be in touch to schedule your interview and trial lesson!

Name

First Name

Last Name

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Age

Grade

School

Instruments interested in studying

Preferred teacher(s)

Has the student ever taken private lessons before? If yes, how long and which instruments?

Has the student ever played in a musical ensemble? If yes, how long?

Is the student interested in playing or singing in an ensemble in the future?

Yes

Maybe

Does the student have any medical issues that might affect lessons? If yes, please explain.

Does the student take any medications that a teacher would need to know about? If yes, please explain.

CMC is located on the campus of Saint Paul Lutheran High School

Contact