Brookline Music Program Application
Thank you so much for taking your time to fill out this form! Our names are Catalina (senior) and Isla (sophomore) from Brookline High School. We are co - directing this program because we are both musicians who believe that music is a great way for people to express themselves. However, we understand (from taking lessons our whole lives) that not every family can meet the costs that come with learning an instrument and participating in music education. We strongly feel that everyone should have an opportunity to pursue what they are passionate about. The Brookline Music Program offers free lessons to all Brookline middle school students and is a great way for middle schoolers to connect with high schoolers and develop a mentor-like relationship. The Brookline Music Program is partnering with the Brookline Teen Center, but it is a completely teen driven and teen organized program. We are beyond excited that you have decided to apply to the Brookline Music Program. However, filling out this survey does not guarantee your child an immediate spot in the program. We will try our best to pair your child with a high school musician ASAP!
Child's Name *
Child's Email Address *
What grade is your child in? *
What is your name? (parent/guardian) *
What is your email? *
What is your phone number? (xxx-xxx-xxxx) *
What day(s) is your child available? (please check all that apply) *
What time frame(s) is your child available on the days specified above? (Ex: 1-4pm Saturdays, 3:30-5:30pm Tuesdays) *
What instrument does your child play/want to learn? *
How long has your child been playing their instrument for?
If your child has participated in the Brookline Music Program before and would like to continue with their previous teacher, please write the teacher's name down and we will do our best to accommodate your request.
What other music programs is your child enrolled in? (please check all that apply) *
Can your child access the Brookline Teen Center? *
How did you hear about us? *
Is there anything else that you would like us to know about your child?
Thank You!
Thank you for taking time to fill out this survey. We will email you back soon with more information. Please do not hesitate to reach out to us for questions or concerns. Contact:
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