Back to Private Lesson Instructors If you are a human and are seeing this field, please leave it blank. VANDEGRIFT HIGH SCHOOL - PRIVATE LESSON FORM 2016-2017 . Student First Name * Student Last Name * Students Grade * 9th Grade 10th Grade 11th Grade 12th Grade Email * Student Cell Phone * Address * City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code * Parent Name * Parent Email * Parent Cell Phone * Home Phone A-Day Class Period * 1st Period (Wind Ensemble/Front Ensemble) 2nd Period (Symphonic Winds) 3rd Period (Concert Band 1) 4th Period (Concert Band 2/Battery) None (Single Blocked Student) B-Day Class Period * 5th Period (Wind Ensemble/Front Ensemble) 6th Period (Symphonic Winds) 7th Period (Concert Band 1) 8th Period (Concert Band 2/Battery) None (Single Blocked Student) Instrument * Select instrument Flute Oboe Bassoon Bb Clarinet Bass Clarinet Saxophone Trumpet Horn Tenor Trombone Bass Trombone Euphonium Tuba Percussion Previous Lesson Teacher * (Currently Taking and/or 2015-16) *If no teacher, please write N/A* Length of Lesson * Please select length of lesson preferred. 30 mins 45 mins 1 hour Lesson Preferences * Do you have extra-curricular activities (sports, clubs, tutorials, etc.) that would be good to know about when scheduling lessons? If not, type "N/A". Parent Signature * By typing your full name here, you are stating that you would like your student to participate in the private lesson program at VHS and that the above information is correct to the best of you knowledge. IMPORTANT: Please wait for this page to complete processing before closing browser or leaving this page. You will see a success message on this page when complete.