Private Lesson Interview Form

How did you learn about MYAC?

Student Information

Student First Name

Student Last Name

Student Grade

Student Birthday

Years of Past Private Study:

Instrument/Voice

Email (for communication about lessons)

Phone Number (for communicating about lessons):

Address Line 1

Address Line 2

City

State

Zip Code

Parents/Legal Guardians (if not adult interested in private lessons)

Parent 1 Name

Parent 1 Employer

Parent 2 Name

Parent 2 Employer

MYAC charges a $50 interview fee to students not currently enrolled in MYAC. We will ensure a personal match with a private music teacher within 2 weeks of the interview.

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Contact Information