New Student Private Lesson Request Form

New Student Private Lesson Request Form

Mason Community Arts Academy
New students should complete this form to request private lessons with Mason Community Arts Academy. Depending on studio space and instrument type, it may take some time for our Private Music Instruction (PMI) team to follow up with an instructor match and trial lesson offer, but please know that our goal is to contact you with options as soon as possible. We would love to have you join our Academy family!
STUDENT INFO
Student Name*

First NameLast Name
Student Age*
Parent Name (Adult Students can input n/a)*

First NameLast Name
Preferred Email (Please provide parent/guardian email for students under 18).*
example@example.com
Preferred Phone Number (Please provide parent/guardian phone for students under 18).*
Please enter a valid phone number.

LESSON INFO
Instrument You Want to Study*
Number of years of previous private lessons in this instrument*
eg. 6 months, 2 years, 5 years
Are you interested in fully in-person or fully online lessons?*

I prefer fully in-person lessons.I prefer fully online lessons.
Preferred Lesson Duration (if any)

30 minutes45 minutes60 minutes
Any other previous musical experience?
What are your goals for private lessons? (for enjoyment, trying a new instrument, building technique, etc.)*
Do you have a specific instructor you would like to request?

LESSON TIME AVAILABILITY
Please indicate below ALL days and times you are available for lessons.

Academy lesson hours are:

Mondays: 10:00 am - 9:00 pm
Tuesdays: 10:00 am - 9:00 pm
Wednesdays: 10:00 am - 9:00 pm
Thursdays: 10:00 am - 9:00 pm
Fridays: 10:00 am - 8:00 pm
Saturdays: 10:00am - 4:00 pm

The more availability you provide, the more easily our PMI Team can place you with an instructor. Students with more availability have a greater chance of moving off our waitlist and being paired with an instructor sooner.
MONDAY AVAILABILITY

AVAILABLE STARTING AT

AM/PM Option

To
until
AVAILABLE ENDING AT

AM/PM Option
TUESDAY AVAILABILITY

AVAILABLE STARTING AT

AM/PM Option

To
until
AVAILABLE ENDING AT

AM/PM Option
WEDNESDAY AVAILABILITY

AVAILABLE STARTING AT

AM/PM Option

To
until
AVAILABLE ENDING AT

AM/PM Option
THURSDAY AVAILABILITY

AVAILABLE STARTING AT

AM/PM Option

To
until
AVAILABLE ENDING AT

AM/PM Option
FRIDAY AVAILABILITY

AVAILABLE STARTING AT

AM/PM Option

To
until
AVAILABLE ENDING AT

AM/PM Option
SATURDAY AVAILABILITY

AVAILABLE STARTING AT

AM/PM Option

To
until
AVAILABLE ENDING AT

AM/PM Option
Requested Start Date*

MonthDayYear
1st Choice Lesson Day (if any)
eg. Monday, Tuesday, No Preference
2nd Choice Lesson Day (if any)
eg. Monday, Tuesday, No Preference
Comments About Availability

PRIVATE LESSON INFORMATION
INSTRUCTOR RATES

We have three categories of private lesson instructors at the Academy with varying experience levels and price points. Options for teacher category are dependent on current availability and schedule. Students commit to a weekly lesson each semester (following a trial lesson). Rates vary according to lesson length and teacher category as follows:

Teaching Artist Rate Per Lesson:
30min= $60.00 45 min= $78.00 60 min= $93.00

Instructor Rate Per Lesson:
30min= $51.00 45 min= $64.00 60 min= $76.50

Junior Instructor Rate Per Lesson:
30min= $44.00 45 min= $56.50 60 min= $69.50
TRIAL LESSON ACKNOWLEDGEMENT

When space becomes available with an instructor that matches your requested instrument, availability, and instructional needs, our PMI team will contact you via email to offer you a trial lesson with that instructor. All trial lessons are paid lessons at the instructor's regular rate. Trial lessons are an opportunity for students and instructors to connect and make sure the lessons will be a good fit before committing to weekly lessons for the remainder of the semester.

To confirm the trial lesson, our staff will require additional information to set up your account in our registration system and process the trial lesson payment. After we confirm a trial lesson day and time that works for your schedule, we will send you instructions for entering your details. These steps must be completed ahead of the scheduled lesson day and time to finalize your registration and reserve your lesson time with the instructor.
I acknowledge that I will be required to pay for the trial lesson ahead of the scheduled lesson day and time.*

I understand.

Additional Questions
Any additional questions or comments?
Should be Empty:

New Student Private Lesson Request Form

STUDENT INFO

LESSON INFO

LESSON TIME AVAILABILITY

PRIVATE LESSON INFORMATION

Additional Questions