After-School Group Music Lessons
Mr. Cline will be offering group music lesson after-school starting the week of February 5th. Please fill out this form if any of your children would like to participate!
Number of Children Interested
(from your family)
Child(ren)'s Name(s)
Your answer
Child's Grade Level
Child 1
Child 2
Child 3
Child 4
Kindergarten
1st
2nd
3rd
4th
5th
Instruments Your Child Would Like to Learn
(select all that apply)
Child 1
Child 2
Child 3
Child 4
Piano / Keyboard
Guitar (Electric or Acoustic)
Ukulele
Recorder
Woodwind (Clarinet, Flute, Sax, etc)
Brass (Trumpet, Trombone, Tuba, etc)
Drums / Drumset
Hand Drums
Keyboard Percussion (Xylophone, etc)
Other
Other Instrument(s) Your Child(ren) Would Like to Learn
(please note that violin, viola, and cello are already being taught after school by Mr. Adkins)
Your answer
Type of Group Lesson Your Child Would be Interested In
(select all that apply)
Child 1
Child 2
Child 3
Child 4
All Students on the Same Instrument
All Students on Similar Instruments (woodwinds together, etc)
Students on a Variety of Instruments (like a small band, jazz combo)
Days Your Child is Available
(select all that apply)
Child 1
Child 2
Child 3
Child 4
Monday
Tuesday
Wednesday
Thursday
Friday
The Following is Optional (only needed if you wish to be contacted by Mr. Cline when group lessons are scheduled)
Length of Time Your Child Has Taken Lessons Previously
Child 1
Child 2
Child 3
Child 4
1-6 months
6-12 months
1-2 years
3-5 years
5+ years
Never Taken Lessons
Parent's Full Name
Your answer
Parent's Phone Number
Your answer
Parent's Email Address
Your answer
Questions or Comments for Mr. Cline
Your answer
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