The Music Program at KCLC is dedicated to providing affordable and convenient after school private music instruction that introduces the joy of music theory, practice and proficiencey in a variety of instruments.  

If your child would like to participate in more than one lesson type, please complete a separate form.  If you have multiple children to enroll, please complete one form per child.

Participant Information

Are you a... *
Lesson Type: Select all that apply *
How much experience do you have with this instrument? *


Please check ALL lesson times that work with your schedule:

Household / Adult Primary Contact

Best way to contact you? *
I have read the KCLC Parent Handbook and Music Program Information Sheet and aware of all policies and procedures.
I understand that this class is offered by an outside instructor and that the certificate from the Office of Child Care for operation of a child care center does not apply.  Therefore, the standards from the Rules for Certification of Child Care Centers may not apply.  (Although we are required to have this on our forms, KCLC standard practices for safety and quality apply to all of our program activities and instructors).