Application for Online Piano Lessons
Glad to hear you're interested in online piano lessons.

Fill out this application form and I'll contact you about payment and scheduling. 

Payment is due before the program begins. Once I receive payment, I'll contact you to decide on the start date of the program (must be within two weeks).

—Michael

Sign in to Google to save your progress. Learn more
Email *
Name *
Age *
What are you hoping to get out of this program? *
What kind of piano or keyboard do you have? *
How did you first hear about this program? *
How did you first hear about me? *
What time zone are you in? *
Please read and agree to the following Code of Conduct *
  1. All assignments are due in 24 hours, unless otherwise specified. You must complete all assignments on time. It's okay to make mistakes, but it's not okay to miss a deadline. If you fail to submit an assignment by the deadline, the session will end and you will not get a refund.
  2. Follow all instructions exactly as written. I choose my words carefully and I expect you to take them seriously.
  3. If you know you will not be able to submit an assignment by the deadline, you must notify me in advance.
  4. Always tell the truth.
  5. Never give excuses.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms