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The RI Phil Music School @ the UNITED offers a wide range of music education programs and performance opportunities to people of all ages, incomes and ability levels. There are convenient lessons and exciting ensembles available across different musical styles. You will find something for everyone!

401.338.8483

united@riphil.org

5 Canal St, Westerly, RI 02891

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PRIVATE LESSONS FORM

MAIN Private Lessons Form

Student's first name:

Student's last name

Student's date of birth

Student's preferred pronouns eg. she/they/he, prefer not to say, etc.

Student race

School (If adult student, write n/a)

Grade

Student email address

Primary caregiver's first name (If adult student, write self)

Primary caregiver's last name (If adult student, write self)

Primary caregiver's email address (If adult student, enter yours)

Primary caregiver's phone number (If adult student, enter yours)

Street address

City

State

Zipcode

Discount code?

Free Text

Every teacher has a unique style along with different practice expectations. More information helps us find an ideal pairing between student and teacher.

Tell us about yourself or your child. Personality, learning style, motivation, practice habits, goals, etc.

What instrument (or voice) would you like to study? If you're not sure or have a few questions, that's OK! Let us know what you're thinking, and we'll try to guide you to the right place.

What interests you or your child about taking music lessons?

Is this your first time taking lessons?

Lessons are typically available between 2:30 and 9 on weekdays; 9-4 on Saturdays. When do you prefer to take lessons?

What days and times are you unable to come for a weekly lessons?

How soon would you like to start?

Are there any health concerns, developmental delays, learning differences we should be aware of?

Any other questions or anything we should know?

How did you hear about us?

Are you interested in any of the following ensembles?

INTERESTED IN YOUTH ENSEMBLES?

Westerly

401.388.8483

HOURS

Monday: 12:30PM - 8PM

Tuesday: 12:30PM - 8PM

Wednesday: 12:30PM - 8PM

Thursday: 12:30PM - 8PM

Friday: 12:30PM - 8PM

Saturday: 9AM - 5PM

Sunday: Closed

MAIN Private Lessons Form

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