KCLC Summer Music Lessons

The Music Program at KCLC is dedicated to providing affordable summer 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.

General information

KCLC summer music lessons run for seven weeks from June 17 until August 2.

Lessons are scheduled for once a week on Mondays, Wednesdays or Fridays. You may choose which weeks you are able to attend lessons.

Students are highly encouraged by their teachers to continue lessons throughout the summer months to maintain their level of proficiency. Students who stop find they are spending a month or two in the fall catching up to where they left off at the start of the summer.

Students who are enrolled through the summer are given priority to reserve their spot for the fall. Students who intend to enroll for fewer than 3 weeks of music lessons will only be accepted on a case by case basis.

Participant Information

First Name

Last Name

Birth Date

Grade

Are you a... *

Returning student

New Student

Lesson Type *

How much experience do you have with this instrument? *

I have never played this instrument before

I have been playing this instrument casually (on and off)

I have played this instrument seriously for 3+ months

I have played/had previous lessons 1+ years

Schedule

How many weeks do you intend to enroll your child in lessons this summer? Please note that scheduling priority is given to students enrolling in 3 or more lessons. *

1-2 lessons

3-4 lessons

5- 7 lessons

Please check ALL lesson times that work with your schedule. Lessons are a half hour in length. Please note that drum lessons are only available on Fridays.

	AM (9am-12pm)	PM (1pm-5pm)
Monday	AM (9am-12pm)	PM (1pm-5pm)
Wednesday	AM (9am-12pm)	PM (1pm-5pm)
Friday	AM (9am-12pm)	PM (1pm-5pm)

Please select all the weeks your child will attend summer music lessons (once a week on a Monday, Wednesday, or Friday): *

Additional notes or date conflicts: *

Household / Adult Primary Contact

Parent/Guardian Name 1 *

Parent/Guardian Name 2

Address

City *

State *

Zip *

Primary Phone

Alternate Phone

Primary Email Address *

Second Email Address

Best way to contact you? *

Phone

Email

Text

I have read the KCLC Parent Handbook and Music Program Information Sheet and aware of all policies and procedures.

Signature *

Date *