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Registration Form (Private Piano Lessons IN-PERSON)
Please note that in-person lessons are being set-up right now, and that you may not get paired with a teacher immediately! We encourage you to sign up for online lessons as well.
If you have any questions, send an email to
info@fromart2heart.org
.
Please make sure the email you enter is a PARENT email.
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Email
*
Your email
Student Name
*
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
Age
*
Your answer
Parent/Guardian Name
*
Your answer
Relationship to Student
*
Your answer
In which time zone do you reside?
*
If your time zone is not listed, type it manually in "Other".
Eastern Standard Time (EST)
Pacific Standard Time (PST)
Mountain Time (MT)
Australia Time (AEST, AWST, ACST, etc.)
Central Time (CT)
Other:
Full Residential Address
*
Please use this format: Street Address, City, Province/State, Country
Your answer
Phone Number
*
Your answer
How did you hear about us?
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