Music & Arts Center Private Music Lesson Enrollment Form The Music & Arts Center is proud to offer weekly Private Music Lessons on a variety of instruments throughout the school year. Weekly lessons cost $60/month for four 30-minute lessons. $90/month for four 1-hour lessons. Families will be billed on a monthly basis. Use the forms below to select your desired private lesson instrument, length, day, and time. If you are not already a Boys & Girls Club member, you will also need to fill out the Membership Registration Form once you are completed with this form. *Families must fill out a new Membership Registration Form each year. Youth's Name* First Last Grade*(for the 2019 - 2020 school year)K123456789101112Parent/Guardian Name* First Last Parent/Guardian Phone*Parent/Guardian Email* Private Lesson Desired Instrument* Drum Set Guitar Piano Marimba Marching Percussion Private Lesson Desired Length* 30 minutes 1 hour Monday Private Lessons Time Slots3 pm3:30 pm4:30 pm6 pm6:30 pm7 pm7:30 pmTuesday Private Lessons Time Slots3 pm3:30 pm5:30 pm6 pm6:30 pm7:00 pm7:30 pmWednesday Private Lessons Time Slots5 pm7 pm7:30 pmThursday Private Lessons Time Slots6:30 pm7 pm7:30 pmFriday Private Lessons Time SlotsWhat is your experience with the instrument you selected?* Beginner: No experience Beginner/Intermediate: 1 year or less experience Intermediate: 1 - 2 years experience Intermediate/Advanced: 3 - 4 years experience Advanced: 5+ years experience When would you like to start attending your lesson?* I would like to start as soon as possible I would like to start at the beginning of next month A Parent / Guardian must attend lessons starting at 6:30 pm or later*Due to minimal staff in the building during the evenings, a parent or guardian is required to sit-in on all private lessons that start at 6:30 pm or later. Parents may certainly sit-in on private lessons that take place earlier in the day, but it is not required. I agree to and understand this policy if it pertains to me / my child's lesson time Other NotesUse the text box below to add any comments or ask any questions you may have regarding the private lesson you are signing up for. This iframe contains the logic required to handle Ajax powered Gravity Forms.