Request edit access
Arts Academy Registration- Fall 2026
The Fine Arts Department is excited to offer private lessons in music, acting, and visual art during the 2026-2027 school year! Please see important information, including registration instructions, below.    
Questions? Contact Mr. Andrew Barr, Arts Academy Coordinator at Andrew.Barr@BenLippen.com.    
Sign in to Google to save your progress. Learn more
Email *
Student Name *
Parent Name *
Parent E-mail Address *
Parent Phone Number *
In which grade is your student enrolled for the 2026-2027 academic year? *
If Lower School student, what is your child's teacher's name?
Which campus does your student attend? *
Which instrument is your student requesting to study? *
Please select the option below that best describes your registration preferences. *
By selecting, "yes," I understand that my student is enrolling in the Arts Academy of the Fine Arts Department of Ben Lippen School for the Fall 2026 semester. I agree that my student will participate in fifteen, thirty-minute lessons.  *
Please select payment option for Fall 2026 lessons:   *
By selecting, "yes," I understand that make-up lessons will only be given in the event of an instructor absence or school closure. *
By selecting, "yes," I understand that private lessons are a full-semester commitment and that students who join late or drop out early will be billed for a full semester. *
By selecting, "yes," I understand that my student must have access to his or her private lesson instrument at home. I agree to provide this instrument and any music method resources recommended by the instructor. *
By selecting, "yes," I agree to give my student's private lesson instructor twenty-four-hour notice of a pre-arranged absence. *
By selecting, "yes," I understand that scheduling and availability are subject to the administration of Ben Lippen School. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Ben Lippen School.

Does this form look suspicious? Report