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Contact Information
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Parents / Guardian's Name(s)
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Student's Age
*
Your answer
Student's Birthday
For exam registration purpose*
MM
/
DD
/
YYYY
Which school is the student currently studying?
*
Your answer
Which suburb do you live in?
*
Eg: Box Hill North
Your answer
Preferred Lesson Types
*
Exam-Based
Casual Learning
Remote-Learning (online)
Other:
Required
Current Music Level
*
Fresh Beginner (Never Learnt Piano Before)
Beginner (Some Music Background)
Grade 1 to 3
Grade 5 to 6
Grade 6 to 8
Other:
Preferred Lesson Day
*
All choices are subjected to availability.
Choose
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any
Preferred Lesson Time
*
All choices are subjected to availability.
Morning 8am to 11am
Afternoon 12pm to 5pm
Evening 5pm to 8pm
Any
Other:
Required
Previous Piano Teachers / Academy
*
Eg: Canterbury Music, Vivace Piano Academy etc. OR None
Your answer
Lastly, how did you hear about us?
Google
Facebook
Instagram
Our Website
Flyer
Friend Recommendation
Other:
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Comments
Any questions, feel free to contact :
+6
1424553206 /
+61451525701
(WhatsApp)
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