Sabella Voice Studio New Client Intake Form Please enable JavaScript in your browser to complete this form. - Step 1 of 3Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNextUpload your Headshot Click or drag a file to this area to upload. Upload your Resume Click or drag a file to this area to upload. AgeHave you taken lessons previously?If so, name of teacher(s), type of instruction (Classical, Pop/Rock, Musical Theater, etc.), and years studied?What do you feel you need to work on in your vocal technique?Any past vocal injuries, surgeries? (If so, include the name of your phono-surgeon and date(s)Have you ever received voice/speech therapy by a licensed practitioner (SLP)? If yes, please include name.Any past non-vocal physical injuries, issues or surgeries?Are there any other physical and/or emotional issues that may hinder your realizing your performance goals?Are you a dancer? Have you had previous instruction in dance, and if so, how many years?Do you play an instrument? Can you read music?What are your professional (or nonprofessional) performances goals for your voice?Who are your favorite artists, who do you listen to (who's on your iPod)?NextFor the following information, please initial each item to indicate that you have read and consent to the policy.Cancellation Policy: If a make-up class cannot be scheduled for an appointment cancelled without notice, the student must be responsible for the entire fee. All make-ups must be scheduled within the next two weeks, unless otherwise agreed to by the instructor. *Please initialPhysical Touch Policy: In the course of study your teacher may need to touch you at various point on the body (including and not limited to, upper and low abdomen, upper and lower back, pelvis, head, neck and torso). Please initial your consent for this appropriate manner of touch. *Please InitialInclement Weather Policy: When/If New York City suspends the public school system or public transportation, then all NYC On-Site sessions will be cancelled. Online Sessions: Remain as scheduled unless there is a power outage for either the client or instructor. If power remains but inclement weather disrupts the VoIP transmission of an online session, then the sessions is cancelled without penalty. In the event of inclement weather and or a school closure (NYC), ALL SCHEDULED ON-SITE sessions can be delivered online, if possible. Please inform your instructor if you wish to meet online. School Delays (NYC) may or may not affect the studio schedule. Email David for details. *Please InitialAll clients are encouraged to communicate with Mr. Sabella regularly regarding any aspect of their vocal, musical or other performance related training. David can be reached at david@davidsabella.com and by phone at 917.374.5868. I have read and agree to the policies stated above.The statements I have given are true to the best of my knowledge and I release Sabella Voice Studio and its contractors from any liability, including and not limited to, any pre-existing conditions that may hinder or prevent my vocal, physical, emotional, artistic, a-vocational or vocational progress. *Please type your full namePreviousNameSubmit45621
