Rachel Loerts Music Trial Lesson Request Form
Please fill out this form to request a trial lesson for yourself/your child. Trial lessons have a one-time fee of $20 for a 1/2 hour and $40 for 1 hour.
First and last name
(if applicable) Please note that there is at cat in the house, but it does not go into the music room where lessons are taught.
Voice (with Rachel Loerts)
Piano (with Rachel Loerts)
Guitar (with Rob Haynes)
Ukulele (with Rob Haynes)
Bass (with Rob Haynes)
Check all that apply.
Classical/Royal Conservatory of Music
Beginner (Little to no musical knowledge)
Intermediate (Some previous music lesson experience)
Advanced (University/College preparation)
Preferred Lesson Date and Time
Sundays (all instruments) 9 am until 5 pm,
Wednesdays (voice & piano only) 3:30 pm until 9 pm
View a calendar of taken lesson times here:
Top three preferred trial lesson dates and times
Please note that after the trial lesson, this time does not have to be your regular weekly lesson time.
(eg. Wednesday 4-4:30)
Parent/Guardian Phone Number(s)
And/or student's number.
Parent/Guardian Email Addresse(s)
And/or student's email address.
How did you hear about Rachel Loerts Music?
Ad on Kijiji
Found website in google search
Referred by a friend
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