Private Lessons Registration
Welcome to Raya Grace! We are so happy to have you join us! We believe in the power of music! And, our private lesson teachers are skilled musicians and talented teachers! You will love them!

There is no registration fee for Private Lessons, but there are individual book fees, unique to each student. Thirty-minute lessons with Amy Call are $65/month, and with Savannah Pope or Annika Pope are $45/month. Payments are made through a PayPal subscription, due on the 1st, September through May.

The year includes two recitals at the Orem Piano Gallery. If you have any questions, please contact: raya@rayagrace.com.
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Student's First and Last Name *
Put preferred name in parentheses if different
Birthdate *
month/day/year
Parents' or Guardians' Names (if student is under 18)
Email Address *
Most important class information is communicated via email.
Mailing Address *
Full address, including zip code.
Preferred Phone Number *
In case we need to contact you during or after a lesson.
Secondary Phone Number *
List any allergies, health concerns, or anything we should know
Include other information, concerns, or requests here.
Select Desired Teacher *
Required
Instrument(s) you wish to study: *
Required
Initial the box below to show agreement: Pick up and Drop Off *
I will park on the south side of the street, in front of the house, or in the driveway. I will arrive, or drop off my child, no earlier than 5 minutes before class. I will pick up my child within 5 minutes of the end of class. I will watch for other children when driving and will refrain from blocking the roadway or sidewalk. If I am late for pick up, I will call or text the teacher.
Type your name in the box below to sign this release: Photographs
I grant permission to Raya Grace LLC to use photographs and/or video of me and/or my child for use on the rayagrace website, Facebook page, and in email newsletters. These videos may be uploaded to YouTube. I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation on arising from or related to the use of the image. I maintain the right to request the discontinuation of any image or video.
Type your name in the box below to sign this release: Liability Waiver *
Raya Grace LLC and its teachers work hard to maintain a safe teaching environment, and have never had a problem with accidents; however, the rayagrace programs do involve physical movement. There is also outdoor play equipment on the property. By registering for lessons on this property, I, the parent or legal guardian, accept full financial liability for any accident or injury that could possibly happen to my child, myself, or any guest accompanying me, while in Raya Leavitt’s home or on her property and release Raya Grace LLC, Raya Leavitt, and all her heirs and connections, as well as her employees and their heirs and connections, from all liability.
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