*
Required
Holton-Arms Fine & Performing Arts Adjunct Program
Music Lesson Inquiry - Violin / Viola
The Arts Adjunct Program offers in-person lessons at Holton-Arms School as well as virtual lessons via Zoom for the 2022-2023 Academic Year.
Student First Name:
*
required
Student Last Name:
*
required
Birth Date
*
required
(mm/dd/yyyy)
Student Grade
*
required
Please Select…
1
2
3
4
5
6
7
8
9
10
11
12
Adult
Holton student?*
yes
no
Current School
*
required
NA if student is adult
Responsible Adult Name
*
required
Parent Name if student is under 18 or "self" if student is adult
email:
*
required
Preferred phone number:
*
required
Interested in lessons for this instrument
*
required
Please Select…
Violin
Viola
Has student taken lessons through the Arts Adjunct Program before? *
Returning Student
New Student
Instrument
*
required
Previous Instructor
*
required
Do you have a preferred instructor for this year?
*
required
Please Select…
Tonya Burton (virtual only)
Jennifer Ries
Sherri Zhang
No preference
Preferred Lesson Format*
Check all that apply
In person lessons at Holton-Arms School
Virtual lessons via Zoom
Preferred Lesson Day(s)*
Check all that apply
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Scheduling Notes (Optional)
This space for information relevant to the student's schedule, e.g., preferred lesson time, dates student is unavailable, scheduled vacation.
Notes for Instructor (Optional)
This space available for you to provide information about your student, their musical experience, or questions for the instructor.
Please send a confirmation email to the address below*: