EKS Music School 2021 Summer Private Lesson and Summer Camp Request Form (Private Lesson Discount (2) expires June 18th, 2021)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interests for taking summer lessons at EKS Music School. This form is for current and former EKS student to schedule summer lessons with our faculty. Please note that this is not your lesson confirmation. Our staff will contact you after you have summited your request to confirm your lesson date and time.

If you are a NEW student to EKS, please first register on our website at https://eksmusicschool.com/enroll-now before you feel out this form. We are unable to process your lesson request without your information in our system.

One form per student. Please submit another form if you would like to sign up for another student in your household.

For detailed information on the classes, please visit our website here:
https://eksmusicschool.com/summer-camp-2021

Thank you very much.

EKS Music School
121B Standish Avenue, Quincy MA 02170
(617)770-7677
info@eksmusicschool.com
www.eksmusicschool.com

Student Name (First Name Last Name) *

Please select one of the following *

I am an existing EKS student

I am a former EKS student

I am new to EKS Music School

I have registered at EKS, but have not enrolled in any programs yet.

Parent Name (First Name Last Name) for student age under 18 y.o.

Best Phone Number to Reach You *

To confirm dates and scheduling (Ex. joesmith@testmail.com)

Best Email Address to Reach You *

To confirm dates and scheduling (Ex. joesmith@testmail.com)

Current Instructor (Please select) *

Ms. Ellyses Kuan (Piano)

Dr. Ines Andrade (Piano)

Mr. Jim Davidson (Guitar)

Ms. Susan Bill (Violin, Viola, Cello)

Ms. Jen Pearl (Voice)

Ms. Graciela Aregudas

Mr. Andy Lo

Mr. Raley Beggs

I am a former student and I don't have an instructor at the moment

I am a new student and I don't have an instructor at the moment

I am an enrolled student and I don't have an instructor at the moment

I want to sign up for: *

2021 Summer Private Lessons

2021 Summer Piano Camp

2021 Summer Strings Camp for Beginners (Age 6-12)

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms