Music Lessons Request Form

Fee Range*

30 Minute Lessons: $106 - $132 (Monthly) OR $848 - $1,056 (Lump Sum)
45 Minute Lessons: $159 - $198 (Monthly) OR $1,272 - $1,584 (Lump Sum)
60 Minute Lessons: $212 - $264 (Monthly) OR $1,696 - $2,112 (Lump Sum)

*Rates vary by instructor and will be confirmed in your referral email. The above ranges are based on 32 weeks of lessons over the course of September - May. Please note: our monthly payment option is not available for the Spring/Summer session.

Personal Information

First Name

Last Name

Guardian's name (if student is under 18)

Age of student requesting private music lesson

Email address

Student's Pronouns

Daytime phone number

000-000-0000

You will be contacted via email within 2 business days. Please respond here if you would rather be contacted via phone, which may take slightly longer.

Lessons

Which instrument?

i.e., piano, voice, flute, cello, guitar, etc.

Brief description regarding musical abilities, grade levels (if applicable) and performing experiences

Do you have a specific instructor in mind? If so, who?

Please note that we can not guarantee that an instructor will be available and accepting new students, but will certainly attempt to place the student with the instructor that they request. If the instructor that you request is unavailable, we will contact you.

Availability

Days/times that you are available and prefer lessons

Days/times that you are NOT available

How did you hear about us?

Music Lessons Request Form

Students

Information for

Campus