Summer 2023 Private Lessons

STUDENT Information

STUDENT First Name

First

STUDENT Last Name

Last

Is this a CURRENT student at Orrett?

Yes

No

Birth Month

Birth Day

Birth Year

Does this student have any allergies or special needs we can make a confidential accommodation for?

Yes

No

Please describe allergies/special needs

LESSON Information

What instrument would the student like to take this summer? What instrument would the student like to take this summer?

One Form Per Instrument

Is this a NEW instrument for this student?

Yes

No

Please tell us who your teacher was for this instrument.

Choose your summer teacher

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.

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

Minimum 4 – Maximum 6

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

Minimum 3 – Maximum 6

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

Minimum 2 – Maximum 6

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

Minimum 2 – Maximum 6

Lesson Type

In-Person (with the option to go online if needed)

Online Only

Is there an instrument available at home for practicing?

Yes

No

Would you be interested in our rental program?

Yes

No

PARENT / GUARDIAN Information

PARENT First Name

First

PARENT Last Name

Last

Email

Confirm Email

Please re-enter email to confirm

Phone

Phone Type

Would you like to add a second parent / guardian?

Yes

No

Additional PARENT First Name

First

Additional PARENT Last Name

Last

OPTIONAL – SECONDARY Email

OPTIONAL – SECONDARY Phone

OPTIONAL – SECONDARY Phone Type

Are you or any other parent / guardian musically inclined?

POLICIES and Other Important Information

Unlike the rest of the year, summer 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 for private music lessons on Tuesday, Wednesday, and Thursday this summer between 2:00 PM and 7:00 PM. Please note that not all summer teachers will be teaching all 3 days

I understand

Each student is allowed ONE reschedule over the summer with at least 24 hours notice

I understand

If you need to change or reschedule your lessons please contact your TEACHER directly

I understand

Summer lessons CANNOT be carried over into September so please ensure all lessons are booked between July 4th and August 24th

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!

Method of Payment

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 have a credit card ON FILE (this only applies to current Orrett families) and I authorize you to charge my credit card for the number of lessons I have indicated above

You do not have my credit card on file OR I wish to change my VISA or MASTERCARD on file by phone or email. Once provided, I authorize you to charge my credit card for the number of lessons I have indicated above

I will send an Interac E-Transfer. Please contact me with the amount owing

Please allow up to 15 business days for processing.

I understand

Please call or email Orrett Music Academy to provide credit card details within 48 hours of submitting this form

I understand that if I do not contact Orrett with my CC within 48 hours my registration may be canceled

Please allow up to 5 business days to receive the financial email with the amount owing. Once received, please send an Interac E-Transfer to hello@orrettmusicacademy.com within 48 hours.

I understand

Summer is a great time to keep momentum going or try something new.

STUDENT Information

LESSON Information

PARENT / GUARDIAN Information

POLICIES and Other Important Information

Method of Payment

Admin Only