Request edit access
Wiley Band Private Lesson Sign-Up
Upon completion of this form, your information will be sent to the private lesson teacher for your child's instrument and you will receive their availability and cost. If you have any questions, please contact Mrs. Finnigan! (
Contact Information
Student Name (Last, First) *
Your answer
Instrument *
Grade *
Parent Name (Last, First) *
Your answer
Parent Email *
Your answer
Parent Phone (555-555-5555) *
Your answer
Previous Lesson Teacher (if you have one)
Your answer
Lesson Teacher Preference (if you have one) We have several new teachers on campus-please refer to the website for more information.
Your answer
Lesson Preference *
Please check all that would work for you and your child. The private lesson teacher will contact you to discuss options based on your preferences. Price per lesson varies by teacher credentials and length of lesson.
Additional Notes to Teacher
Please include any scheduling requests or conflicts. Note that teachers will do their best to accommodate but may not be able to fulfill all requests.
Your answer
Are you applying for the grant program?
Thank you for signing up! Please hit submit and a private lesson teacher will contact you with payment and scheduling details ASAP.
Never submit passwords through Google Forms.
This form was created inside of Report Abuse - Terms of Service