Register for Private Lessons

Student's Name (*)

Please let us know your student's name.

Student Date of Birth (if under 18 years of age): (*)

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Please describe any prior music experience: (*)

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Parent/Guardian (if student is 18 or under) (*)

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Address (*)

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City (*)

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State (*)

Please enter two character state abbreviation.

Zip Code (*)

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Home Phone Number (*)

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Your Email Address (*)

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Private lessons are offered on the following instruments:

Keyboard Instruments
Piano, Organ

Woodwind Instruments
Flute, Clarinet, Saxophone, Oboe, Bassoon, Bagpipes

Brass Instruments
Trumpet, French Horn, Trombone, Tuba, Euphonium

String Instruments
Guitar, Violin, Cello

Voice

Percussion
Marimba, Snare Drum, Timpani

Enter Instument Name (*)

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Desired Lesson Time (Days and Times) (*)

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Reduced Rate Qualified (*)
YesNo
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Please note that in order to receive reduced-rate tuition, parents must provide proof from the Clarksville Montgomery County School System that their child is a participant in the free & reduced lunch program. A staff member of the Music & Arts Academy will contact you once your registration is submitted.

Madison Street United Methodist Church

Private Lesson Registration