Bayview Glen Private Music Lessons & Payment Form

Registration fess are $80.00 per instrument. Please register twice if you are looking for multiple instruments.

Parent First Name *

Parent Last Name *

Parent Email Address *

Parent Phone # *

Student First Name *

Student Last Name *

Student Grade in Fall 2024 *

Please select instrument choice below: *

What are your preferred lessons days of the week? *

What are your preferred lesson times? *

Please confirm the name of your current Private Instructor. If you are a new registrant, please select N/A. *

Any additional information for consideration. If your teacher has requested that you have a longer lesson (45 minutes or 1 hour), please indicate that here.