Application for Private Study

PGS Ensemble, The Holographics, perform at Mississippi Studios

PGS Ensemble, The Holographics, perform at Mississippi Studios

To apply for private lessons, please fill out the form below.  If you have questions, please call 503-522-9191.  After you apply you will be contacted to scheduling. For the full list of policies regarding lessons please click here.  Private lessons will be billed for their full tuition seven days before the start of every quarter.  After the third class there will be no refunds of tuition.

Student Name *
Student Name
Parent Name (If Applicable)
Parent Name (If Applicable)
Student Birth Date *
Student Birth Date
Mailing Address *
Mailing Address
Phone Number *
Phone Number
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
I aim to represent everyone properly at recital time. Please give me any helpful hints you can offer about how to properly pronounce your (or your student's) name. Ex. "Cole, like Dole bananas but with a C instead of a D." If you have performed in a previous PGS recital and your name has been correctly announced, you may omit answering this question.
Please list your availability.
Photo Release *
Payment Policy *
Payment for private lessons is due seven days before the beginning of every quarter. After the 3rd class there will be no refunds of tuition.
ex. My daughter is studying "Smells Like Teen Spirit" and "Enter Sandman" with her private instructor. She is listening to the band Lettuce a lot.
"Swap List" opt out
For more information regarding the swap list please visit the "policies" page. Note: you can opt out at any time later by emailing info@pacificguitarstudio.com