Online Music Lessons Form

MAC's 2019-2020 school year
music registration

Private music lessons are a great way to build discipline and take your playing to the next level. Our music faculty is comprised of professional teaching artists who are dedicated to music education in a community setting. Lessons are ongoing throughout the school year and cost $28 per half-hour lesson.

You can use this online form to submit a request for private lessons scheduling. If you have any questions, please contact our office at (503) 823-2787.

STUDENT INFORMATION

Student Name*

Age Group*
AdultYouth (& age)

Age:

Main Contact Name (if different from above)

Relationship

Primary Contact Email*

Primary Phone*



LESSONS REQUEST INFORMATION

Instrument Request*

Do you have access to an instrument for daily practice?*YesNo

Lesson Length Request*
30 min.45 min.1 hour

Previous experiece*Student is returning (enrolled in MAC private lessons during previous school year)In-school instructionGroup classNone

Prior instrument(s):


WEEKLY AVAILBILITY

Please check any days during the week that you would like to be considered for lessons placement. You will then be asked to provide any time spans the student is available for lessons throughout the school year from EARLIEST START TIME to LATEST ENDING TIME (e.g. 9:00am-Noon, 1:00-6:15pm, etc.). More availability will make it more likely that we will find a match for your schedule.*
MondaysTuesdaysWednesdaysThursdaysFridaysSaturdays

IDEAL LESSON TIME AND DAY

Ideal Lesson Day*

Ideal lesson time(s)*

Instructor preference (if known)


OTHER DETAILS

I am enrolling other family members.

I am applying for a need-based scholarship for music lessons.

Be sure to complete and submit a scholarship form with your lessons application.

Accommodation will be needed due to disabilty or special needs.

Please provide details in the box below. Inclusion Specialists may be available.

Is there anything else that would be helpful to effectively place the student?