Oakville Lesson Change Request Form Oakville Change Request Form PARENT/GUARDIAN Information Name * Name PARENT/GUARDIAN First Name PARENT/GUARDIAN First Name PARENT/GUARDIAN Last Name PARENT/GUARDIAN Last Name Email * Please re-enter email to confirm. Confirm Email * Phone * Would you like to add another Parent/Guardian to this student’s profile? * Yes No SECONDARY PARENT/GUARDIAN Email Name Name First First Last Last Phone Student – CURRENT Lesson Information Please tell us the information about your CURRENT PRIVATE lesson. STUDENT Name * STUDENT Name STUDENT First Name STUDENT First Name STUDENT Last Name STUDENT Last Name Current PRIVATE Instrument * PianoGuitarUkuleleDrumsVoiceViolinSaxophoneFluteRecorderClarinet Current Teacher * Mr Aaron GMr AdamMs AlexaMr AndrewMr BrandonMr ColinMs GretchenMs JasmineMr JosephMs LeslieMr MattMr Matthew GMr Matthew WMs PattyMr PeteMs ShelleyMs VanessaI don't know who my teacher is Current Lesson Day * MondayTuesdayWednesdayThursdayFridaySaturday Current Lesson Time * Please enter the time only. Current Lesson Length * 30 minutes45 minutes60 minutes Birthday (Example: May 19, 2011) * Lesson Length For consideration – As children age and become more advanced, sometimes a longer lesson is highly beneficial. Would you like the student to have a new lesson length for the new term? * No thanks, same lesson length I’m not sure, kindly contact me to discuss Yes, new length please How long of a lesson would you like starting in the new term? * 30 Minutes 45 Minutes 60 Minutes 75 Minutes In order to accommodate your request of a new lesson length, scheduling changes MAY be required. The form will prompt you to include some alternate days and/or times to help us help you. Would you like to make any other changes to THIS lesson? Changes such as: Lesson Day Lesson Time Teacher Instrument Would you like to make any other changes to this lesson? * Yes No Other Changes Would this student like to change their DAY/TIME? * No Yes (You’ll be prompted to provide options later in this form) Would this student like to change their instrument? * No Yes What instrument would this student like to change to? * PianoGuitarUkuleleDrumsVoiceViolinSaxophoneFluteRecorderClarinet Is this student’s current teacher also teaching this NEW instrument? * No Yes Yes, but I would like to change teachers Would this student like to change their TEACHER? * No Yes Please tell us the style of teacher that would best suit this student in the COMMENTS SECTION later in this form. Thank you for indicating you would like to make a change. We will try our best to accommodate your request. Availability In order to facilitate ANY changes (including teacher, instrument, length, etc.), we require information about your availability this September. You must complete AT LEAST a first and second choice time range regarding your preference for times this September. Remember, the more flexible you are, the more likely we will be able to get you a spot. Please note not all instruments are offered every day. For the days of the week of a particular teacher, please refer to the image at the top of this page 1st Choice Day of the Week * MondayTuesdayWednesdayThursdayFridaySaturday 1st EARLIEST Lesson Start Time on that Day * Please enter the time only 1st LATEST Lesson Start Time on that Day * Please enter the time only 2nd Choice Day of the Week * MondayTuesdayWednesdayThursdayFridaySaturday 2nd EARLIEST Lesson Start Time on that Day * Please enter the time only 2nd LATEST Lesson Start Time on that Day * Please enter the time only 3rd Choice Day of the Week MondayTuesdayWednesdayThursdayFridaySaturday 3rd EARLIEST Lesson Start Time on that Day Please enter the time only 3rd LATEST Lesson Start Time on that Day Please enter the time only 4th Choice Day of the Week MondayTuesdayWednesdayThursdayFridaySaturday 4th EARLIEST Lesson Start Time on that Day Please enter the time only 4th LATEST Lesson Start Time on that Day Please enter the time only If, despite our best efforts, we are not able to accommodate your day / time request, would you be willing to keep your current spot? * Yes No, this student’s day and time no longer works. Priorities Is your priority your day and time? If so, would you be willing to change your teacher in order to accommodate your day and time? Indicate that below. Would you like Orrett Music Academy to prioritize your preferred DAY and TIME and choose a teacher for you? * Yes, if needed please choose a teacher for me No, I would like to keep my teacher We will always try to keep your current teacher (unless you request a teacher change). This will only be relevant if you are requesting a new day/time that your teacher may not have available. Comments Please use this section to make any additional comments you would like. Perhaps your priority is to have siblings come at the same time or different times. This is also the place to make special requests or mention anything not covered by the form. Comments Submit