Winter Session '25 Change Request Form
Thank you for letting us know you need to make a change for Winter Session! ALL schedule and withdrawal requests must be made using this form and be received by November 22 to be considered. Students without valid change request forms by November 22 will be confirmed for Winter Enrollment and tuition charged to the stored payment method. Please enter the same email address for the primary adult contact that is used for your registration in Pike13. If you are making changes for multiple students, please complete a separate form for each student.
Fall Session Ends December 20 • Winter Session Begins January 6
Winter Session runs 1/6 - 2/28 (8 weeks); Spring Session runs 3/3 - 5/23 (10 weeks)
Primary Adult Contact Full Name
*
Primary Adult Contact Phone Number
*
Primary Adult Contact Email Address
*
example@example.com
Student Full Name
*
Is this student requesting a Private Lesson Schedule Change?
*
Yes
No, but I need to drop a Group Class or Ensemble
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Private Lesson Change Request
Current Lesson Length
Please Select
30 Min
60 Min
Winter Session will run from 1/6 - 2/28 (8 weeks) - $456 for 30 minute lessons / $912 for 60 minute lessons
Current Instrument / Lesson
What type of lessons are you currently taking?
Current Lesson Day and Time (i.e. Mondays at 4:30)
Current Private Lesson Teacher
Clay Humphrey - Guitar, Ukulele, Mandolin, Banjo, Bass
Ed Domer - Drums
Emma Bittner - Cello
Joe Rudd - Piano, Woodwinds, Music Production
Lynnette Turner Parry - Voice
Gabriel Soto-Rivera - Violin, Viola
Molly Moon Thorn - Guitar, Ukulele, Piano
Susan Jones - Ukulele, Guitar, Piano
Taylor Upton - Guitar, Bass
Tom Goicoechea - Music Therapy (Piano)
Jack Eidemiller - Piano, Guitar, Uke
Desired Lesson Length
Please Select
30 Min
60 Min
I would like to cancel these private lessons
Desired Lesson Day/Time
Please provide as many details as possible about your student's availability and schedule conflicts.
Would you prefer a different teacher?
Yes
No
N/A, I am withdrawing this student from private lessons
If yes, we’d love to hear about your preferences or specific needs in a teacher, so we can work together to find a great fit for you moving forward.
Anything else?
Is this student requesting a Group Class or Ensemble Enrollment Change?
*
Yes
No
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Group Class/Ensemble Withdrawal Request
Current Enrollments (Select all that apply)
Bucket Band, Grades 3-5 (Wednesdays @ 3:45p)
Rock Band Prep Grades 4-5 (Tuesdays @ 4:15p)
Youth Choir Grades 2-5 (Wednesdays @ 4:30p)
Auditioned Rock Bands are annual enrollments and cannot be dropped
I will no longer attend (Select all that apply)
Bucket Band, Grades 3-5 (Wednesdays @ 3:45p)
Rock Band Prep, Grades 4-5 (Tuesdays @ 4:15p)
Youth Choir Grades 2-5 (Wednesdays @ 4:30p)
I would like to add (Select all that apply)
Bucket Band, Grades 3-5 (Wednesdays @ 3:45)
Rock Band Prep, Grades 4-5 (Tuesdays @ 4:15p)
Youth Choir Grades 2-5 (Wednesdays @ 4:30p)
Auditioned Rock Bands can be joined midyear by instructor permission.
N/A - I am withdrawing from the group class
Anything else that would be helpful for us to know?
Submit
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