Request Music Lessons - Adults

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Tell us about your child:

Parent's First Name

Parent's Last Name

Parent Cell number

Can we text this phone number?

Yes

Parent Email

Child's Name

Age

School & District

Grade

Previous music lessons?

Yes

Is the parent prepared to supervise home practice?

Yes

What instruments does the student want to learn?

Do you have transportation to PAC for weekly lessons?

Yes

Access to instrument at home?

Yes

Special learning needs, behavior challenges, social/emotional needs, physical disabilities?

Do they play another instrument? If so, please list:

Does your child take medication for ADHD or ADD? If yes, please make sure the medication is active for music lessons.

Yes

Does the child listen and follow directions willingly?

Yes

Interested in experimenting with ZOOM lessons with a college aged teacher?

Yes

How did you hear about this program?

Reminder: Lessons are 30 minutes for 8-weeks with an evaluation aimed at assessing progress, compliance, enjoyment. A PAC staff member/instructor will contact you for follow up to determine the fit for lessons.

Thank you for your interest in music lessons with PAC!

Thanks for submitting!

Presentation Arts Center

8832 Tudor Avenue

Overland, Missouri 63114

pacartscenter@outlook.com

314-731-6522

Contact Us

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Last Name

Phone

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