Music Lessons Inquiry Form -

Student Name

First Last

Parent Name*

First Last

Email*

What instrument is your child interested in playing?*

Please note in comments below if your instrument is not listed.

What best describes your child's level of proficiency?*

Hidden

Check all that apply:*

I prefer music lessons to be given during my child's extracurricular period during the normal school day.
I prefer music lessons to be given after school (additional aftercare fee may apply)
My child has access to an instrument
I am interested in a discounted rental or available instrument for my child's use.

Check all that apply:*

Check all that apply:*

Please indicate which weeks you would like your child to have music lessons.

Comments/Questions

Please note if there is a specific day of the week desired.