Upon the completion and submission of this application we will immediately begin the enrollment process. So that we may provide you the best possible education, please answer all questions thoroughly. Thank you for choosing The Dallas School of Music, Inc.
Application for Admission
A $35 registration fee is required for each application submitted.
How will you pay the registration fee?





Client Information
First Name
Middle Initial
Last Name
Street Address
City
State
Zip Code
Home Phone
Work Phone
Alternate Phone
Email Address
Relationship to student
Social Security Number

Student Information
First Name
Nick Name/Preferred Name
Middle Initial
Last Name
Date of Birth
School or Employer
Last Grade Completed
Area of Interest

Preferred Session Times
please check all days and times that you prefer to have a session

Monday

10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Tuesday
10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Wednseday
10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Thursday
10 AM - Noon
Noon - 3 PM
3 PM - 6 PM
6 PM - 9 PM
Saturday
9 AM - Noon
Noon - 4 PM
Preferred Session Length
please complete this section if you are enrolling for individual instruction
I prefer Half Hour Sessions
I prefer One Hour Sessions

Music Education
The information you provide below aids us in matching you with the DSM music educator that will best meet your needs both musically and personally. Thank you for your assistance with this important process.
 
What are your musical goals?
What types of music do you enjoy most?
Describe the best possible student-teacher relationship for you.
Are there any non-musical benefits you hope to obtain through music?
How will you determine the success of your music education?
How would you best describe your personality?
Do you have any special needs (Dyslexia, ADD, Down Syndrome, etc.)?
Are you comfortable with the terms of enrollment (see below)?
Please feel free to add any additional comments or educational concerns.

Enrollment Terms
Tuition
Missed/Canceled/Tardy Sessions
Schedule/Faculty Change
Instruments and Supplies
Miscellaneous

Hours of Education
 
Monday thru Thursday
10:00 AM - 9:00 PM
 
Saturday
9:00 AM - 4:00 PM
 
Friday and Sunday
Closed
 
 
Live chat with DSM