Waiting List Application Form — Vancouver Harp Academy

Student Information

Student's full name

Student's date of birth (write adult, if over 18)

Parent/Guardian Name (if student is under 18)

Email

Phone

For automated lesson reminders, how would you prefer to be contacted?

Answer required

Text

Email

Both

Neither (missed lessons without proper cancellation will still be charged)

Background

Have you (or your child) played a musical instrument before?

Yes

No

If yes, please list the instrument(s) and number of years played:

Can you (or your child) read music?

Not yet

A little (simple notes/rhythms)

Pretty well

Fluently

Do you already have a harp?

If you do have a harp, please list the maker and model/type of harp.

Lesson Preferences

How would you like to take lessons? Check all that apply:

In person (Marpole - weeknights)

In person (Mount Pleasant - weekends)

Online

Not sure yet

Preferred Lesson Format. Check all that apply:

In-person lessons

Online lessons

Preferred Private Lesson Length

30 minutes

45 minutes

60 minutes

Not sure yet

When would you ideally like to begin lessons?

As soon as a space becomes available

Within 1–3 months

Later this year

Availability

Please let me know where and when you’d be available for lessons. This helps me find the best possible spot for you.

Preferred Studio Location

Check all that apply:

Marpole Studio (Red Tomato School of Music #4 - 1496 W 72 Ave)

Mount Pleasant Studio (West Point Grey School of Music 75 West Broadway )

75 West Broadway (West Point Grey School of Music)

Check all that apply:

Saturday mornings between 8:00 am-12:00pm

Saturday afternoons between 12:00–5:00 pm

Saturday evenings between 5:00- 8:00pm

Marpole Studio (Red Tomato School of Music

#4 - 1496 W 72 Ave)

Check all that apply:

Monday afternoons between 2:00–5:00 pm

Monday evenings between 5:00–9:00 pm

Wednesday afternoons between 2:00–5:00 pm

Wednesday evenings between 5:00–9:00 pm

Thursday afternoons between 2:00–5:00 pm

Thursday evenings between 5:00–9:00 pm

Friday afternoons between 2:00–5:00 pm

Friday evenings between 5:00–9:00 pm

Preferred Lesson Start Time (Optional)

If you have a specific time or times in mind within the windows above (e.g. “Saturdays at 1:30 pm” or “Mondays after 5:00 pm”), please note it here:

Preferred lesson time:

General

Is there anything else you’d like me to know?

Consent

Required Checkboxes

I understand that submitting this form does not guarantee placement, and that I will be contacted regarding scheduling options and availability.

I have read and agree to the Vancouver Harp Academy lesson policies.