Instrument Need Application

First name*

Last name*

Student Date of birth

Parent/Guardian (if under 18)

Street address

City

State/Region

Email*

Phone number

What is the name of the school you are currently attending? (if applicable)

What is your school music teacher's name (if applicable)?

Enter the name of your/your child's music teacher.

What grade level are you in?

What instrument are you applying for? *

Would you be willing to write a thank-you note to your donor?

Yes

What is your favorite thing about playing your instrument?

If you selected "other" in the previous field, please describe how you heard about WCM.

Are you planning on taking or currently taking private lessons with the Wisconsin Conservatory of Music?