Music Lessons Form

My child, _________________________ is interested in taking lessons during the 2006-2007 school year.

_______ I am requesting group lessons at the rate of $12.00 per half hour.

_______ I would like information regarding fees and availability for private lessons.

Please contact me regarding my child’s lesson time and start day.

Parent/Guardian Name _____________________________________________________

Daytime Phone # ___________________________ Evening Phone # _______________

_____________________________
Child’s instrument

_______________________________
Parent/Guardian Signature

*payment for the first month is due at the first lesson