Private Music Lessons Request Form

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Please tell us more about your music lesson needs so we can get started on arranging it for you.

Email *

Student First and Last Name *

Parent's Name *

Contact Phone No. *

Contact Email Address *

Student Birthdate *

YYYY

Will this be paid with charter school funds? *

Yes

What kind of lessons are you interested in? *

Private Piano lessons

Private Guitar lessons

Private Violin lessons

Private Voice lessons

Private Ukulele lessons

Private Drum lessons

Private Flute lessons

Other:

Required

What length of lessons are you interested in? *

30 minutes once a week (recommended for beginners)

1 hour once a week

Other (we will contact you to get details)

Required

Please pick the most appropriate skill level for your student *

Beginner

Have had a few lessons, but close to beginner level still

Intermediate

Advanced

Other:

Are you requesting a specific teacher/tutor? Please list or mark as N/A

Please list the best days and times for you to do lessons. *

Would you like the lessons/tutoring to be: *

In-person

Via Zoom

Either Zoom or in-person

Which location would you prefer for lessons/tutoring (if available)? *

Santa Clarita Newhall

Northridge

Zoom

Any location works

Please acknowledge that you understand that we have a 24 hour cancellation policy in most cases. If you cancel a tutoring session/music lesson less than 24 hours in advance or not contact us about it at all, you will still be billed since the teacher/tutor is keeping that time reserved for your student and can't make use of that time for any other appointments/lessons. (In cases of sudden illness, this policy might be reviewed) *

I understand and accept

Required

Submit

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