Private Lesson Enrollment Request Form
2026-2027

Upon completion of this form, your information will be sent to the private lesson teacher for your child's instrument and you will be contacted by the teacher. If you have any questions, please contact one of the Killian Middle School band directors.
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Student First Name *
Student Last Name *
Student Instrument *
Students who play bass clarinet should select 'Clarinet.' Students who play alto saxophone, tenor saxophone, or bari saxophone should select 'Saxophone.'
Student Grade *
Please select your child's grade for the current school year.
Student's Band Class *
Parent Name *
Please include your first AND last name.
Parent Email *
Parent Phone *
Please type your number as in the following format: (###) ###-####
Additional Notes
Scholarship Request *
Private lessons are $25 per lesson. There are limited scholarship funds available for students in financial need. An application is required if financial aid is requested.
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