GRA Weekly Virtual Music Lessons Application
Name (First and Last):
Name of Student:
Age of Student:
Does the student have any medical, behavioral or cognitive issues we should know about?
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.
We love beginners! Is the student a beginner on the instrument selected?
Yes, the student is a beginner.
No, the student has experience playing the instrument selected.
Please let us know the student's musical experience, if any. If student has no musical experience, please list "Beginner."
Does the student enrolling in lessons need an instrument?
No, the student already has an instrument.
Yes, the student will require 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:
Early Morning (Before 10 AM)
Late Morning (10 AM to Noon)
Early Afternoon (Noon to 2 PM)
Late Afternoon (2 PM to 4 PM)
Early Evening (4 PM to 6 PM)
Late Evening (6 PM to 8 PM)
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.
No thank you, I am able to pay the full price of lessons.
Yes, I will sign up for financial aid at
Anything you would like us to know?
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This form was created inside of Girls Rock Austin.