Bullis Private Music Lesson Program 2021-22: Online Registration Form
Complete and submit this form to register your Bullis student for the Bullis Private Music Lesson Program.  Questions?  Please contact lerna_may-frandsen@bullis.org.
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Student Information
Student Name *
Grade in 2021-22 *
Lesson type *
* Please complete a separate online form for each type of lesson requested (if more than one).      
Years studied *
Requested private instructor name: *
Select weekly lesson length (minutes): *
*  Note: minimum lesson length for US instrumental ensemble students  is 45 min.
Main Bullis School Music Ensemble participation in 2021-22? *
In which group does your child plan to participate, if any?
We attest that we have read, understand and agree to the parameters, expectations and fee schedule outlined in the 2021-22 Bullis School Lesson Policies document. *
Required
Parent Information
Parent 1 Name (First, Last) *
Parent 1 Email *
Parent 1 Phone *
Parent 2 Name (First, Last)
Parent 2 Email
Parent 2 Phone
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