Skip to Navigation
Skip to Search
Skip to Main Content
Skip to Footer Links
Request Information
Visit
Apply
Information For
Current Students
Faculty and Staff
Alumni and Friends
Parents and Families
Give Today
Search
Luther College
Menu
Academics
Admission & Aid
Athletics
Music
Student Life
Request Information
Visit
Apply
Give Today
Information For
Current Students
Faculty and Staff
Alumni and Friends
Parents and Families
Search
Enter keywords below.
Frequently searched keywords:
Academic Calendar
Housing & Dining
Book Shop
Directory
Library
Close Search
Home
>
Music
>
Music Education Major
>
Luther College Community Music School
>
Private Study Registration
Menu
Menu
Private Study Registration
Home
>
Music
>
Music Education Major
>
Luther College Community Music School
>
Private Study Registration
Private Study Registration
Student Name
*
Phone Number
*
Email address
*
Grade in school (if applicable)
*
Parent/Guardian Name(s)
*
Private Lessons (includes service fee)
*
Price:
$150.00
Please indicate your instrument(s) below:
*
Violin
Viola
Cello
Double Bass
Flute
Oboe
Bassoon
Clarinet
Saxophone
Trumpet
French Horn
Trombone
Euphonium
Tuba
Percussion
Drum Set
Piano
Guitar
Ukulele
Teacher Preference: If you took lessons in the past and would like to continue with the same teacher or would like to request a different teacher, please indicate it here.
I give permission to release photos and/or video of the child listed above for the program website, Facebook page, area news sources, and local media sources.
*
Yes
No
I hereby release Luther College and its officers, agents, employees, and members of LutherCollege from all liability for damage and/or injuries that my child may sustain participating in and/or traveling to and from Luther College Community Music School events. I also understand that Luther College shall assume no responsibility or liability for my child for accidents or illness, and I acknowledge and do hereby assume all risks inherent in my child's participation in and/or transportation to this event. I hereby hold Luther College and its respective officers, employees,agents, and representatives harmless from any and all liabilities, actions, claims, and damages of any kind and nature whatsoever caused by or due to my child's participation in the Luther College Community Music School.
*
Yes
Total
$0.00
Payment Method
*
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name