Community Music School Private Lesson Registration [DRAFT]

Indicates required field

Future Participant

Welcome!

Thank you for your interest in taking private lessons, as a participant of the Community Music School at The Ohio State University.

Required fields are marked with an asterisk ( * ).

Participant first name

Participant last name

Applicable pronouns

He/him/his

She/her/hers

They/them/theirs

Any pronouns; no preference

No pronouns; only use my name

Another set of pronouns…

Participant email

If minor with no email, enter parent's.

Alternate email

If minor with no email, enter parent's.

Cell phone

If minor with no phone, enter parent's.

Grade/status

Street address

City

State

Ohio

Zip code

Lesson Details

Lesson type

(eligibility)

Lesson length

30 minutes

60 minutes

Parent/Guardian Information

For students under age 18

Parent/guardian first name

Parent/guardian last name

Parent/guardian email

Parent/guardian phone

Number where parent/guardian can be reached during lessons.

School Information

For students through grade 12

School name

School street address

City

State

Ohio

Zip code

Teacher first name

Teacher last name

Music teacher's area

Band

Choir

General music

Jazz

Orchestra

Music teacher's email

Enter N/A if no school music teacher.

Financial Aid

Are you interested in receiving and/or believe you might qualify for financial aid?

Yes

How did you hear about the Community Music School? *

Share any questions or anything else you would like us to know in advance.

(Optional)