Summer Private Lesson Form Summer Private Lessons 2025 STUDENT Information STUDENT First Name * First STUDENT Last Name * Last Which location would this student like to attend? * Etobicoke - The Kingsway Oakville - Glen Abbey Is this student a CURRENT student at Orrett? * Yes No Birth Month * JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Birth Day * 12345678910111213141516171819202122232425262728293031 Birth Year * 2021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940 Does this student have any allergies or special considerations that we can make a confidential accommodation for? * Yes No Please describe allergies/special considerations. * LESSON Information - Etobicoke List of Summer Teachers Teacher Summer Availability Which instrument would the student like to take this summer? * Intro Piano (4-8) Classical Piano (5+) Modern Piano (5+) Voice (5+) Violin (4+) Guitar (7+) Bass Guitar (7+) Ukulele (5+) Drum Kit (7+) Music Theory (7+) Saxophone (9+) Private Musical Theatre (5+) Please Help Me Choose! One form per instrument. Is this a NEW instrument for this student? * Yes No Please tell us who your teacher was for this instrument. * Mr AaronMs AyanaBethany RMs BeverleyMs BrianaMr BryceMs ChristeeMr ChristianMs ClaraMs DaniMr DavidMs ElenaMs ElizabethMs EmmaMs HannahMr JackMr JadenMr JeremyMr JimMs JillianMr JoelMr JulienMr KarandeepMr KevinMs KimberlyMr LucaMs Meghan BMs RachelMr SamMs SaraMs SharonMr VictorMs Yana Choose your summer teacher: * Let us choose for you (Please tell us what you are looking for in a teacher in the comments section provided at the end of this form)Mr AaronMr BryceMs ClaraMs DaniMs ElenaMs ElizabethMs HannahMr JadenMr JeremyMr JoelMr JulienMr KevinMs SharonMs SaraMr Victor 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 How many lessons would you like? * 45678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. How many lessons would you like? * 345678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. How many lessons would you like? * 2345678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. How many lessons would you like? * 2345678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. 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 (piano only)? * Yes, I would be interested in a piano rental for the summer No thank you LESSON Information - Oakville List of Summer Teachers  Teacher Summer Availability Which instrument would the student like to take this summer? * Intro Piano (4-8) Classical Piano (5+) Modern Piano (5+) Voice (5+) Violin (4+) Guitar (7+) Bass Guitar (7+) Ukulele (5+) Drum Kit (7+) Music Theory (7+) Saxophone (9+) Flute (9+) Clarinet (9+) Oboe (9+) Recorder (4+) Please help me choose! One form per instrument. Is this a NEW instrument for this student? * Yes No Please tell us who your teacher was for this instrument. * Mr Aaron GMs AlexaMr AndrewMr ColinMs DaisyMs EwaMs GretchenMs JasmineMr JosephMs LeslieMr Matthew GMr Matthew WMr MattMs PattyMr PeteMs Yana Choose your summer teacher: * Let us choose for you (Please tell us what you are looking for in a teacher in the comments section provided at the end of this form)Mr ColinMs DaisyMs JasmineMr JosephMs LeslieMs PattyMs Yana 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 How many lessons would you like? * 45678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. How many lessons would you like? * 345678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. How many lessons would you like? * 2345678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. How many lessons would you like? * 2345678 Using the image above this form, please take note of which weeks your teacher is teaching before choosing the number of summer lessons you wish to enrol for. 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 (piano only)? * Yes, I would be interested in a piano rental for the summer No thank you PARENT / GUARDIAN Information PARENT / GUARDIAN First Name * First PARENT / GUARDIAN Last Name * Last Email * Confirm Email * Please re-enter email to confirm. Phone * Would you like to add a second parent / guardian? Yes No Additional PARENT / GUARDIAN First Name * Additional PARENT / GUARDIAN Last Name * OPTIONAL - SECONDARY Email OPTIONAL - SECONDARY Phone Are you or any other parent / guardian musically inclined? * POLICIES and Other Important Information Once registration is processed and payment is received a member of our staff will reach out to discuss scheduling * I understand Please note Etobicoke is only open for private music lessons on Tuesdays, Wednesdays, and Thursdays this summer between 2:00pm and 9:00pm during the weeks listed in the image above. Please note that not all summer teachers will be teaching all 3 days or all 8 weeks. * I understand Please note Oakville is only open for private music lessons on Wednesdays and Thursdays this summer between 2:00pm and 9:00pm during the weeks listed in the image above. Please note that not all summer teachers will be teaching both days or all 8 weeks. * 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 or email hello@orrett.ca. * I understand Summer lessons CANNOT be carried over into September, so please ensure ALL lessons are booked between July 2nd and August 21st. Lessons not used by August 21st will be forfeited * I understand and will use ALL my lessons before August 21st, 2025 Each "In-Person" student may request to go online with just 30 minutes' 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! Payment Information Summer lessons are paid for all at once. Your lesson rate will remain the same as your current private lesson rate. For students who are new to the school, your payment amount will be discussed before charges go through. * I understand Payment Method * I have already provided a credit card I would like to provide a NEW credit card, please contact me I DO NOT HAVE A CREDIT CARD, PLEASE CONTACT ME Please allow up to 15 business days for processing. * I understand and authorize Orrett Music Academy to charge the card provided Submit
