YMA Private Lesson Application
Private Lessons for All Ages
Thank you for choosing Young Musicians of Alamance for your Private Lessons!
Upon registration, a non-refundable $30 trial lesson fee is required. We are unable to provide financial aid for private lessons due to the nature of programming. Please feel free to contact us if you have any questions!
Please note that some instruments are currently waitlisted!
Please use the form https://form.jotform.com/260117814546052 if you are interested in lessons in PERCUSSION, UPRIGHT BASS BRASS INSTRUMENTS, AND WOODWINDS (not including flute).
Student Information
Please select one option:
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Adult Applicant
Child/Teen Applicant
Student Name
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First Name
Last Name
Student Gender
Please Select
Male
Female
Other
Student Birthday
*
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Month
-
Day
Year
Date Picker Icon
School Attending for 25-26 School Year
Grade Level for 25-26 School Year
Highest Education Level Completed
Previous Vocal/Instrumental Music Experience
0-6 Months (Beginner)
6 Months - 2 Years (Intermediate)
2+ Years (Advanced)
Accommodations and Allergies
Please list any allergies, medications, or other notable health information regarding your student. This may also include learning or behavioral considerations that could impact their experience with instrumental or vocal learning. Providing this information does not disqualify your musician from participating. It simply helps us prepare our Teaching Artists to provide the best possible support and accommodations for your student.
Please list any allergies, medications, or otherwise notable health information regarding your student(s). Type N/A if none apply.
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Parent/Guardian OR Adult Applicant Information
Primary Parent/Guardian Name
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First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Guardian/Parent Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do both parent/guardians wish to be added to our "YMAFamilies" email group? You will receive all communication from administrative team regarding updates, events, and otherwise notable information regarding our programming. If you select "No", we will only add the Primary guardian to our email group.
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Yes
No
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Relation to Student
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Instrumental Pathway
Please choose any and all instruments your student(s) will be taking classes or private lessons for in the 2025-2026 Season. Upon finalization of our schedule and integration of our new parent portal, you will have the opportunity to cater your student(s) schedule based on their needs and our availability.
Will your student(s) need to borrow an instrument from YMOFA?
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Yes
No
Location and Time(s)
The location and time of your lesson will be determined based upon you and the Teaching Artists availability. We offer flexible scheduling that is ultimately determined upon our Teaching Artist's availability and ability to commute. We will, however, do our best to accommodate your needs!
When would you like lessons to begin?
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Spring Semester (ASAP)
Summer Semester (June)
Fall Semester (September)
Instrument Choice(s)
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Piano
Voice
Accordion
Ukulele
Guitar
Bass Guitar
Violin
Viola
Flute
Please select the length of lessons you would like to take.
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30 minutes/week
45 minutes/week
60 minutes/week
Other
Please select your preferred location(s) for private lessons.
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Alamance Campus (Macedonia Lutheran Church)
Guilford Campus (Mount Hope UCC)
Both/Either
Please select your preferred day(s) for private lessons.
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Monday
Tuesday
Wednesday
Thursday
Friday
Please select your preferred time(s) for scheduling:
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12:00 - 2:00 PM
2:00 - 4:00 PM
4:00 - 6:00 PM
6:00 - 8:00 PM
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Registration Deposit
This $30 non-refundable trial lesson fee covers the cost of one, 30-minute trial lesson. Upon determining if it is a good fit between the student and Teaching Artist, we will follow-up with you regarding monthly tuition payment scheduling.
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Trial-Lesson Fee
Non-refundable
$
30.00
Quantity
1
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please select the drop-down that best suits your needs regarding program tuition.
Please Select
Please Contact Me: Scholarships
Multiple Family Discount
None
Please note: Program registration fees are non-negotiable and required to secure your student's spot.
Please read and check the boxes regarding waivers and agreements:
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Parent/Guardian Signature OR Adult Applicant Signature
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Submit
Submit
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