Voice & Acting Private Lessons / Audition Preps / Playful Piano Lessons
This form is to Register for Private Voice and or Acting Lessons.
 Please visit lighthouseplayers.org/lessons for more details. Thank you!

Contact us at: admin@lighthouseplayers.org for any questions in filling out the form. Thank you for your patience.
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Email *
Student Name *
Age & Grade *
Birthdate *
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Parent/Guardian Name(s) *
Phone Number(s) *
Address *
Registering for Lessons *
What is your availability on Tuesdays and or Thursdays? 

Please list all available times in order to find a matching, once a week, time slot. Thank you, kindly!

Lessons begin as early at 9 AM and end as late as 6 PM on the above days.
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Please describe experience in Voice, Acting, Piano, and or Dance (i.e. classes, lessons, productions) if none type N/A. *
Learning/Educational Needs (Please list anything we need to know for us to help you or your child shine their brightest light!) *
I understand my student must attend all lessons scheduled, on a monthly basis, and if there is no way to avoid missing a lesson especially in the event of illness, teacher must be notified at least 24 hours in advance. Family trips, etc. should be notified the month prior in order for the teacher to plan their budget accordingly. *
For weekly on going lessons only: I understand lessons are paid monthly on the first day of the month and if for some reason I need to pause or end lessons I need to give the teacher a month's notice as to open the time slot to another student and not have it affect the teacher's budget. *
For Voice Lessons Only: I understand I will need to open a musicnotes.com account and download the app and when songs are selected with teacher I will need to purchase songs to my account for my child to practice the digital copy with. I will need to give access to either teacher, or privately to my child, in order to use the music in lessons. The Pro is not required.
For Piano Lessons Only: I understand I will need to purchase each level of Color Me Musical by Connie Cullum, one book at a time, as we go through the curriculum.
For Voice Lessons Only: I understand voice is an instrument which must be cared for in order to develop lifelong healthy vocals. I understand I/my child needs to vocalize several times a week to keep the vocal folds limber and healthy. I will commit to encouraging my child to practice for the joy of singing.
Clear selection
For Playful Piano Lessons Only: I understand learning any instrument takes time and practice. I understand my child needs to practice throughout the week. I will commit to encouraging my child to practice for the joy of music and help with the coloring reward system.
Clear selection
Hold Harmless: I am the parent or guardian of the child named above. I hereby acknowledge that my child could be injured, become ill, or have an accident while participating in Lessons, even under the safest of conditions. With this understanding, I hereby consent to allow my child to participate in the Lessons and release Lighthouse Players as well as  all instructors, directors, coordinators, spouses, family members, housemates, or representatives of the above entity from any liability of claims resulting from any accident, illness, or injury occurring to my child. I also agree to identify and to hold above named parties harmless from any liability and expense from any accident, illness, or injury that may occur in any manner in connection with the Lessons. *
Medical Release for IN PERSON Lessons: My child, named above, has permission to participate in Lighthouse Players Private Lessons. The following information is provided so that the adult(s) in charge may contact a responsible person in case of illness or accident during the activity. Emergency Contact Name(s) & Phone Number(s), Doctors Name & Phone Number: *
Safety Agreement: In order to attend lessons a student and/or anyone in close proximity to their personal life must not have COVID-19 or other contagious illness. If they or their family feel exposed to Covid-19 the student/family member must get tested and have a negative result prior to attending lessons. *
I am/my child is in good health and may engage in all activities. *
Please describe any important medical information about you/your child and list ALL medications taken: *
Permission to Photograph and Videotape:  I give permission for my child/myself to be photographed and videotaped for publicity purposes related to Private Lessons and Performances. I understand that my child’s/my photo may appear in the newspaper or on the Lighthouse Players' website or on the company's or instructors’ Facebook or Instagram. *
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