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Piano Lessons Introductory Questionaire
Thank you for your interest in private piano instruction. Please fill out the form below and I will contact you regarding schedule and any further questions you may have. Thank you!
-Randy
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* Indicates required question
Name:
*
Your answer
Email:
*
Your answer
Name of parent or guardian (if student is under 18):
Your answer
Email of parent or guardian (if student is under 18):
Your answer
Student age:
*
Your answer
Prior piano experience:
*
Your answer
What days would work best for lessons? (please choose at least 2 different days) (Time of lesson will be arranged via email)
*
Monday afternoon
Tuesday afternoon
Wednesday afternoon
Thursday afternoon
Required
What type of lesson is preferred?
*
Private in-person and in-home lessons
Private online lessons
What question(s) do you have for me?
Your answer
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