La Belle Music Academy Private Lessons Registration From

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Email *

Student Name 學生姓名 *

Personal Info

Student's Birth Date 生日

YYYY

Parent Name 家長姓名 (for students under age 18)

Phone Number 電話 *

Teacher You like to Study with 您選擇的老師

Mandy Zhou

Joseph Dougherty

Jessica Chiu (YAMAHA GROUP LESSON)

Tong Liu

Peggy Huang

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Music Background

Please tell us your music learning experience (ex. beginners; years of studying piano or other instruments.)

Piano at Home

Please select the answer that fits your scenario

I have a acoustic piano

I have a digital piano with weighted keys

I have a small keyboard

I dont' have piano yet

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How Do you Hear about Us

Please tell us how you know about us

Referred by a Friend(please provide your friend's name)

Ads

We Chat groups

Other:

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