Mr. Bill's Tuesday In-Home Lesson Form
Sign up for in-home lessons with Mr. Bill between June 10-July 29. If you want lessons in August, we can arrange for lessons with Mr. Kyle, another in-home teacher.
Parent/Caregiver Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Student 1 Lesson Reservation
Select the weeks Student 1 will attend lessons.
Student 1 Name
*
First Name
Last Name
Student 1 - Usual Sunday Lesson Time:
*
Hour Minutes
PM
AM/PM Option
Student 1 Lesson Length
*
I'd like to keep the current lesson length (i.e. 30 minutes)
I'd like to increase the lesson length (i.e. from 30 to 45 minutes)
I'd like to hear my teacher's opinion about increasing the lesson length
Student 1 - Tuesday In-Home Lesson Times
*
Book my usual time.
I'd like a different time or day this week.
No lesson this week.
June 3
June 10
June 17
June 24
July 1
July 8
July 15
July 22
July 29
Week of Aug. 10 with Mr. Kyle
Week of Aug. 17 with Mr. Kyle
Student 2 Lesson Reservation (if applicable)
Select the weeks Student 2 will attend summer lessons.
Student 2 - Usual Sunday Lesson Time:
Hour Minutes
PM
AM/PM Option
Student 2 Lesson Length
I'd like to keep my current lesson length (i.e. 30 minutes)
I'd like to increase my lesson length (i.e. from 30 to 45 minutes)
I'd like to hear my teacher's opinion about increasing the lesson length
Student 2 - Tuesday In-Home Lesson Times
Book my usual time.
I'd like a different time or day this week.
No lesson this week.
June 3
June 10
June 17
June 24
July 1
July 8
July 15
July 22
July 29
Week of Aug. 10 with Mr. Kyle
Week of Aug. 17 with Mr. Kyle
Tuition
Tuition rates may be found here: https://mattixmusic.com/summer-in-home-lessons/
Tuition
*
Charge my card on file for the number of lessons I indicated above.
Send me an invoice; I will pay in full by May 1st, 2025.
Signature
*
Submit
Should be Empty: