Lesson Placement

I Would Like to Enroll In...(Required)

Please choose the program for which you are starting the enrollment process.

Student Information

Please fill out the following form to begin the registration process.

First Name(Required)

Last Name(Required)

Birth Date(Required)

MM slash DD slash YYYY

Ethnicity

School

Grade

Family Information

Primary Parent Info

First Name

Last Name

Address

Street Address Address Line 2 City State ZIP Code

Occupation

Employer

Cell Phone

Home Phone

Work Phone

Secondary Parent Info

First Name

Last Name

Address Same as Above

Address

Street Address Address Line 2 City State ZIP Code

Occupation

Employer

Cell Phone

Home Phone

Work Phone

Music Lessons

Does this student or sibling attend Music Together® or Preschool at Preucil?

Yes

Does this student or other immediate family members currently take lessons at Preucil?

Yes

If yes, list name(s) and instrument(s):

Instrument Desired:(Required)

Violin

Viola

Cello

Bass

Flute

Harp

When would you like to begin lessons?

Fall

Spring

Summer

Year

Have you taken lessons before?(Required)

Yes

If Yes: Prior teacher/program(Required)

Reason for transfer:(Required)

Dates of study:(Required)

Current Literature:(Required)

Please check all times you are available for lessons

9AM – 3PM times

Mondays 9am-3pm

Tuesdays 9am-3pm

Wednesdays 9am-3pm

Thursdays 9am-3pm

Fridays 9am-3pm

Saturdays 9am-3pm

Sundays 9am-3pm

3PM – 5PM times

Mondays 3pm-5pm

Tuesdays 3pm-5pm

Wednesdays 3pm-5pm

Thursdays 3pm-5pm

Fridays 3pm-5pm

Saturdays 3pm-5pm

Sundays 3pm-5pm

5PM – 8PM times

Mondays 5pm-8pm

Tuesdays 5pm-8pm

Wednesdays 5pm-8pm

Thursdays 5pm-8pm

Fridays 5pm-8pm

Saturdays 5pm-8pm

Sundays 5pm-8pm

Comments: please include special lesson time circumstances here.

Placement Fee(Required)

Price:

+ Credit Card Processing Fee(Required)

Price: $0.00

Total

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name

This field is for validation purposes and should be left unchanged.

Main Campus
524 N Johnson St
Iowa City, IA 52245
(319) 337-4156

North Campus
2916 Northgate Dr
Iowa City, IA 52245
(319) 248-1248

Locations

Main Campus
524 N Johnson St
Iowa City, IA 52245

(319) 337-4156

North Campus
2916 Northgate Dr
Iowa City, IA 52245

(319) 248-1248

Corporate Sponsors

Hills Bank
First Community Trust
Reck Violin Shop
Smith & Wood Construction
Lensing Funeral & Cremation Service
Herteen & Stocker

Affiliations

Social Media

Preucil School of Music on Facebook

Preucil Preschool on Facebook

Preucil Music Together on Facebook

YouTube

Logins

Faculty Materials

Orchestra Materials