Student Availability | Peabody Institute

Student Last Name*

Student First Name*

Student's Age as of September 1 (or adult)*

Instrument*

Registration Term

Lesson Length*

Parent/Guardian Name

Preferred Email Address*

Enter Email Confirm Email

Preferred Phone Number*

Preferred Campus (Downtown, Towson, Howard County) in order of preference*

Feel free to annotate (ie. Saturdays Downtown, weekdays Towson, or similar)

Lesson Availability - Downtown Campus

Please list all Days and windows of time when your child could attend a lesson at the Downtown Campus (ie., Mon-Wed 4-9, Thurs. 3-5:30, etc.)

Lesson Availability - Towson Campus (No Saturday Option)

Please list all Days and windows of time when your child could attend a lesson at the Towson campus (ie. Mon-Wed 4-9, Thurs. 3-5:30, etc.)

Lesson Availability - Howard County (No Saturday Option)

Please list all Days and windows of time when your child could attend a lesson at the Howard County campus (ie. Mon-Wed 4-9, Thurs. 3-5:30, etc.)

Annotations

Please feel free to share any other information that may help us in placing your child with a new teacher.

Name

This field is for validation purposes and should be left unchanged.

Peabody Institute