Magic Student Questionnaire

 

Tell us about your background and experience in magic:

 

1.) What magic tricks do you already perform? (Use separate page if necessary.)

 

 

 

 

 

 

 

 

 

 

 

 

 

2.) What books or videotapes on magic do you own?

 

 

 

 

 

 

 

 

 

 

3.) Who are your favorite magical performers?

 

 

 

 

 

 

4.) What are your goals in taking magic lessons?

 

 

 

 

 


 

 

 

You can help decide the course program.

Let us know what your interests are;

 

 

Want kind of magic are you most interested in learning? (Check all that apply.)

q      Close-up Magic

q      Stage Magic

q      Illusion

q      Children’s Magic

q      Comedy Magic

q      Apparatus Magic

q      Silk Magic

q      Rope Magic

q      Escapes

q      Sleight-of-Hand Magic (see below)


q      Other ____________________________

 

 

If you are interested in learning sleight-of-hand, are you most interest in (Check all that apply);

 


Close-up

q      Cards

q      Coins

q      Rope

q      Sponge Balls

 

Stage Manipulations

q      Cards

q      Coins

q      Balls

q      Thimbles

q      Silk Magic


q      Other __________________________________________

 

 

 

Are there any specific tricks you wish to learn?

 

 

 

 

 

 

 

 

 

 

 

Your Name __________________________________________ Age _______________

 

 

Address ________________________________________________________________

 

 

City _________________________________ State _____________ Zip _____________

 

 

Telephone __________________________ Email _______________________________

 

 

Schedule Conflicts (list times you are not available for classes) _____________________

 

________________________________________________________________________

 

 

 

_____________________________   _________________

Signature                                                   Date

 

 

 

If under 18 years old have a parent sign this form expressing knowledge of your enrollment in magic classes.

 

 

 

_____________________________   _________________

Signature                                                   Date

 

 

 

________________________

Print


 

Fax Completed Application to 724-225-4744

 

© Fred Becker, 2004