Private Lesson Inquiry Form

Complete this form to request private lessons. We’ll contact you within 1–2 business days to confirm placement and schedule

Primary Contact

First Name *

Last Name *

Phone *

Email *

Relationship to Student

Student First Name *

Student Last Name *

Student Date of Birth *

// (mm/dd/yyyy)

Student Email (If Applicable)

Student Current School (If Applicable)

Student Current Grade (If Applicable)

Is this your first time participating in a CFVA Educational Program? *

Yes
No

Requested Start Date

Weekly Availability (Check All That Apply)

Preferred Lesson Location *

Audubon park
College park
Windermere
Virtual

Monday

Morning
Afternoon
Evening

Tuesday

Morning
Afternoon
Evening

Wednesday

Morning
Afternoon
Evening

Thursday

Morning
Afternoon
Evening

Friday

Morning
Afternoon
Evening

Any Schedule Notes?

If interested in voice, is there a certain style of singing you wish to pursue?

Pop/Contemporary
Musical Theater
Classical/Opera
Jazz
Other

List any medical diagnoses or special needs you'd like to share.

Is there anything else you want us to know about your student?

Specific Instructor request?