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!
Megan.Seymore@bisdmail.net
* Required
Email address
*
Your email
Student Name (Last, First)
*
Your answer
Instrument
*
Choose
Flute
Oboe
Bassoon
Clarinet
Bass Clarinet
Alto Sax
Tenor Sax
Bari Sax
Trumpet
Horn
Trombone
Euphonium
Tuba
Percussion
Grade
*
Choose
6th Grade
7th Grade
8th Grade
Band Class
*
Choose
Honors Band
Symphonic Band
Wind Symphony
Concert Band
Flute Class
Clarinet Class
Oboe/Bassoon Class
Saxophone Class
Trumpet Class
Trombone Class
Euphonium/Tuba Class
Horn Class
Percussion Class
I'm unsure
Parent Name
*
Your answer
Parent Email
*
Your answer
Parent Phone (555-555-5555)
*
Your answer
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.
*
I'M READY TO ROCK AND ROLL!
Required
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.)
Your answer
Please notify Mrs. Seymore for scholarship information via email.
Megan.Seymore@bisdmail.net
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