Top Note Piano Studio

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Request for an Introductory Piano Lesson.
Please only provide the requested information. This response form is confidential and your information will only be used to arrange an introductory lesson or retained with your permission on the piano lessons waiting list.

Ms Shirley Munro BA ( Hons), Dip Music.
Piano and Music Theory Private Tutor.

Please note, lessons are subject to availability and suitability.
Introductory lessons do not guarantee a place.

Contact Name *

Email- (personal only - work related emails will not be responded to) *

Age of student requesting Introductory lesson *

Please give details of previous experience of Piano lessons, including pieces of music learned, music workbooks completed or working on and any graded exams taken. *

Please indicate your preferred days /times for a 30 minute lesson: Monday - Wednesdays between 4.00- 6.45pm . *

It is essential that you have a piano/ keyboard to practice on - please select one of the following options *

I already own a piano / keyboard

I have access to a piano / keyboard

I intend to purchase a piano /keyboard for starting lessons

Other:

Any learning or health condition which might affect the ability to learn piano ? *

Any other relevant information *

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