Request edit access
Music Lesson Application
Email address *
Name *
Year Level *
What is your house *
1st Choice *
Select the instrument you wish to receive lessons for:
2nd Choice *
Select a second option in case you miss out on the first.
Performance Group *
It is encouraged that students who receive lessons at school, and/or using a school instrument should be involved in at least one of the groups below:
List any music experience if any: *
What instruments do you have access to? *
If you selected other in the previous question, list them below:
Do you require a hired instrument? *
Have you read the Music Tuition - Itinerant Scheme document? *
Music Lesson Agreement *
Please read the following agreement – If I am provided with music lessons at school, I agree to: • Attend lessons regularly, notifying my teacher if I am to be absent • Practice set music daily • Be a reliable member of the music groups to which I belong • Take full responsibility for any equipment, instructions or music lent to me by the school • Pay instrument hire expenses ($80 per year for WHHS instruments)
Never submit passwords through Google Forms.
This form was created inside of Western Heights High School. Report Abuse