Private Lesson Registration Form

Private Lesson Registration Form

A registration form is required for ALL students seeking private lessons from the Lawrenceburg Academy of Performing Arts. Completion of this form and payment of a $30 registration fee guarantees your student a spot on our waiting list and/or a scheduled lesson day/time when openings become available. A registration form is required for EACH child you are registering for private lessons.
Student Name*

First NameLast Name
Student Age/Grade*

AgeGrade
School Format*
Lesson Type*
Never EverBeginnerIntermediateAdvanced
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityZip Code

Postal
E-mail (guardian or student if over 18)*
example@example.com
Mobile Number*
Format: (000) 000-0000.
Additional Comments
Please leave any additional comments, questions, or information relevant to your student.

My Products*

Registration Fee

As indicated above, this one time fee guarantees your student a spot on our waiting list and/or a scheduled lesson day/time when openings become available.

$30.00

Total

$0.00

Credit Card

Thank you!

We will be in contact when a lesson day/time comes available to begin lessons with your child. If you have questions, please reach out to Meredith Lewis at meredith@lawrenceburgacademyofperformingarts.com.
Should be Empty:

Private Lesson Registration Form

Credit Card

Thank you!