Share Your Musical Story with Us Students & Alumni

Can you believe Little School of Music has been open since 2005?! We are grateful to have had such supportive families attending the school for so many years. As you have grown, so have we.

Our 20-year anniversary is coming up soon, and to celebrate we are compiling our history through real stories, memories, photos, and other experiences that have been special to LSM. We would also like to use segments for our marketing to reach more people and encourage more music study.

Thank you in advance for taking the time to be part of this! Your thoughtful responses will help us show others what it’s like to be in music and the impact it could have on the lives of young people and their families.

Be you, and speak from the heart ♥️

Students & Alumni (14+yrs)

Students & Alumni can complete this questionnaire on their own. (Parent email is required if you are under 18yrs old.)

Questionnaire for Students/Former Students (14+ yrs)

Student/Alumni Name

First

Last

Student/Alumni Phone

Student/Alumni Email

Parent/Legal Guardian Name (required if under 21yrs)

First

Last

Parent/Legal Guardian Email (required if under 21yrs)

Parent/Legal Guardian Phone (required if under 21yrs)

1. What does music mean to you?

2. Why do you play music?

3. Do you see yourself playing music for the rest of your life in some capacity? (for pleasure, professionally, as an escape, etc.)

4. With the pressures of school, other activities, and preparing for (or attending) college, how do you make time for music? (lessons, practice, performances, etc.)

5. Tell us your Little School of Music story! How has Little School of Music impacted you and your family?

6. Anything else you would like to add, please share!

Release

Without remuneration of any kind, I being competent and of legal age, or parent or guardian representing a minor, hereby give Little School of Music the absolute and irrevocable right and permission, with respect to my likeness, performance, and participation in its Website, Video/Web Banners and Photography, General Publications, Brochures, Booklets, Emails, Newsletters, Social Media, Apps now available and created in the future, and all forms of communications; hereinafter called “Advertising rights”.a) To use written content submitted including stories, data, testimonials, and other information;b) To record/photograph my likeness, performance and participation, and or property photographed owned by me or controlled by me at the time of Photography;c) To copyright the same in its own name or in any other name which it may choose;d) To telecast the Communications of the written content and recording thereof one or more times over any Internet site, station or stations, or to publicize the Communications or any portion thereof by any means, for any purpose whatsoever in whole or in part, including (but not by way of limitation), promotion, advertising, trade; ande) To use my name in connection therewith if we so choose.I acknowledge that Little School of Music are and will be the sole owner of all rights in and to the Communications, written content, and the recording/photography thereof, for all purposes in perpetuity. I hereby assign any copyright rights, publicity rights or any other rights that I may have regarding the Communications to Little School of Music.I also hereby release Little School of Music from any and all claims of any nature whatsoever which I could or might have against the Releases by reason of any fact or matter whatsoever.By signing my name, I acknowledge that I have carefully read and understand this document.

I acknowledge that I have read and understand.

Participant Signature

Clear

Parent/Legal Guardian Signature

Clear

Required if participant is under 21yrs

If you are human, leave this field blank.