2022 Summer Private Lessons Summer Private Lessons 2022 Email * STUDENT First Name * First STUDENT Last Name * Last Is this a CURRENT student at Orrett? * Yes No Registration Information PARENT First Name * First PARENT Last Name * Last Phone * Phone Type * Cell Landline Additional PARENT First Name First Additional PARENT Last Name Last SECONDARY Phone SECONDARY Phone Type Cell Landline Birth Month * January February March April May June July August September October November December Birth Day * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Birth Year * 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 Does this student have any allergies or special needs we can make a confidential accommodation for? * Yes No Please describe allergies/special needs * What instrument would the student like to take this summer? Intro Piano (ages 4-8) Modern Piano (ages 5+) Classical Piano (ages 5+) Voice (ages 5+) Voice / Intro Piano (ages 5+) Ukulele / Sing-a-long (ages 4+) Ukulele (ages 4+) Guitar (ages 7+) Electric Bass (ages 8+) Drum Kit (ages 7+) Hand Drumming (ages 6+) Violin (ages 4+) Music Theory (ages 5+) Musical Theatre – Private (ages 6+) Is this a NEW instrument for this student? Yes No Choose your teacher Mr Joel Mr Jaden Mr Matt Ms Pauline Ms Alessia Mr Jack Ms Christee Mr Jim Ms Megan W Ms Meghan B Let us choose for you Please take note of the weeks your teacher is teaching this summer BEFORE choosing # of lessons. Please refer to the image at the top of this form to see which weeks your selected summer teacher is teaching BEFORE choosing the number of summer lessons you with to enroll for 4 5 6 7 8 9 Minimum 4 – Maximum 9 What lesson length would you like this summer? Note, if you are an existing student, this length does not have to match your normal lesson length. 30 Mins 45 Mins 60 Mins 75 Mins Lesson Type In-Person (with the option to go online if needed) Online Only In the summer, unlike the rest of the year, scheduling is done by the TEACHERS. Your teacher will contact you directly to schedule lessons. Kindly be patient as this may take some time. * I understand Please note we are only open Tuesday, Wednesday, and Thursday this summer between 2:00 PM and 9:00 PM only. Summer extends 9 weeks from June 28th to August 25th inclusive. Please note that not all summer teachers will not be teaching all 3 days * I understand Summer lessons CANNOT be carried over into September so please ensure all lessons are booked between June 28th and August 25th * I understand Summer lessons are paid for all at once, your lesson rate will remain the same as your current private lesson. For students who are new to the school, your payment amount will be discussed before charges go through. * I understand Payment options for summer lessons * I will send an Interac E-Transfer. Please contact me with the amount owing I authorize you to charge my credit card on file for for the number of lessons I have indicated above You do not have my credit card on file or I prefer to provide you with a different VISA or MASTERCARD by phone or email. Once provided, I authorize you to charge my credit card for the number of lessons I have indicated above Administrative Purpose ONLY If you need to change or reschedule your lessons please contact your teacher directly * I understand Each student is allowed ONE reschedule over the summer with at least 24 hours notice * I understand Each “In-Person” student may request to go online with just 30 mins notice if needed. We hope this helps prevent the need to reschedule lessons * I understand Use this optional section for general comments. Have any specific goals in mind for summer lessons? If you will be working with a new teacher this summer would you like to tell them a bit about the student? Thanks! If you are human, leave this field blank. Submit
