String Lessons Questionnaire - Midsummer's Music and its affiliate, the Griffon String Quartet

Student Name*

First Last

What is the student's age?*

0 of 25 max characters

Parent/Guardian (if student is under 18 years old)

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Email*

Enter Email Confirm Email

Phone*

SOURCE

How did you hear about strings lessons with the Griffon String Quartet?*

Printed newspaper

Online news source

Facebook

Website

Google search

Other (explain below)

Lessons Questionnaire

Which instrument are you applying for lessons?*

Violin

Viola

Cello

Do you own or rent your own string instrument?*

Rent

Own

Would you like information on renting an instrument from Midsummer's Music?*

Yes

Have you had any private music lessons in the past? (what instrument, who was the instructor, how many years, etc)

Are you interested in participating in a monthly studio class for multiple students to play together and perform for each other?*

Yes

Are you in need of a scholarship? Please explain.

If a scholarship is awarded, the student may be requested to write Thank You notes and participate in special performances.

Individual Private Weekly Lessons:
30 minutes: $25
45 minutes: $37.50
60 minutes: $50

Payment for complete sessions is required in advance, except in hardship cases, which are addressed on a case-by-case basis.

Attendance policy: If the teacher needs to cancel, the lesson will be made up. If the student needs to cancel, 48-hour notice must be given to qualify for a makeup lesson. One makeup lesson will be offered per semester. This does not apply to emergencies.

Phone

This field is for validation purposes and should be left unchanged.