Request Private Music Lessons

Sign Up For Private Music Lessons

Fill out and submit the form below to request lessons for up to three students from one family. Once we receive your information, you will be contacted by a teacher or School of Music staff member.

Do not hesitate to call us at 724-934-7529 or email us at info@pycosom.com with any questions about lessons.

Click here to learn more about our music teachers.

Click here to learn more about our private lessons.

Lesson Request Form

Student #1 Information

* Indicates required field

Student #1 - Name *

First

Last

Instrument *

Student Level *

Student Age *

Student Grade *

School Student Attends *

Years Playing Instrument *

Previous Private Lesson Experience *

Student #2 Information (if applicable)

Student #2 - Name *

First

Last

Instrument *

Student Level *

Student Age *

Student Grade *

School Student Attends *

Years Playing Instrument *

Previous Private Lesson Experience *

Student #3 Information (if applicable)

Student #3 - Name *

First

Last

Instrument *

Student Level *

Student Age *

Student Grade *

School Student Attends *

Years Playing Instrument *

Previous Private Lesson Experience *

Parent/Guardian/Adult Student Information

Parent/Guardian/Adult Student Name *

First

Last

Email *

Primary Phone Number *

Secondary Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Lesson Request Information

If You Are Requesting a Specific Teacher, Enter Name Here *

Indicate the window of time the student is available for lessons on each applicable day:

MONDAY - Window of time the student is available for lessons *

TUESDAY - Window of time the student is available for lessons *

WEDNESDAY - Window of time the student is available for lessons *

THURSDAY - Window of time the student is available for lessons *

FRIDAY- Window of time the student is available for lessons *

SATURDAY - Window of time the student is available for lessons *

SUNDAY - Window of time the student is available for lessons *

When would you like to start lessons? *

Right Away Summer Fall Spring

Additional Comments (ex. musical background, more info on time availability, Kindergarten AM/PM?, etc.) *

This form was completed by *

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