Private Lesson Enrollment
Upon completion of this form, you will be notified by Mrs. Seymore with information on availability and cost. If you have any questions, please contact Mrs. Seymore!
Email address *
Student Name (Last, First) *
Instrument *
Grade *
Band Class *
Parent Name *
Parent Email *
Parent Phone (555-555-5555) *
I understand by signing up to take private lessons, I will be charged $18 on a weekly bases (per semester signups). Exceptions WILL be made for appropriate situations. *
Additional Notes To Teachers (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.)
Please notify Mrs. Seymore for scholarship information via email.
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