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Private Lesson Form 2025-2026
After completing this form, we will process your request and send you lesson teacher information. For any other questions, please contact:
Mari Cyr (mariselda.cyr@nisd.net)
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* Indicates required question
Student Email
*
Your answer
Student Name (Last, First)
*
Your answer
Instrument
*
Your answer
Grade for the 2025-2026 School Year
*
6th
7th
8th
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Phone Number
*
Your answer
Any additional notes. Weekly sports conflicts, transportation availability, etc.
Your answer
Previous Private Lesson Teacher (Not Required)
Your answer
Requested Private Lesson Teacher (Not Required)
Your answer
Description of Student’s Personality (Introverted, extraverted, outgoing, shy, etc.)
Your answer
Are you signing up for summer lessons?
Yes
No
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