GRA Weekly Virtual Music Lessons Application
Name (First and Last): *
Your answer
Your Pronouns:
Email: *
Your answer
Phone Number: *
Your answer
Name of Student: *
Your answer
Student's Pronouns:
Age of Student: *
Your answer
Does the student have any medical, behavioral or cognitive issues we should know about?
Your answer
Instrument (You may check more than one): *
If you selected "Other" for the previous question, please let us know for what instrument(s) you would like to request lessons for.
Your answer
We love beginners! Is the student a beginner on the instrument selected? *
Please let us know the student's musical experience, if any. If student has no musical experience, please list "Beginner." *
Your answer
Does the student enrolling in lessons need an instrument? *
Please select the length of each lesson: *
Preferred Lesson Day (Please select every day that work for the student's schedule. The more availability you list, the easier it will be for us to place the student with an instructor.
Preferred Lesson Time (Please select all times that work with the student's schedule:
GRA firmly believes financial, physical, and social barriers shouldn't prevent anyone from gaining the self-esteem that comes from creative expression. We also know that every family's financial situation is different, which is why we offer a sliding scale for all of our programs. Private Music Instruction starts at $45 for a 30 minute tax-deductible lesson. If this rate is not in your budget, please let us know by applying for our financial aid program. *
Anything you would like us to know? *
Your answer
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