New Student Application
Thank you for your interest in piano lessons with Lara's Piano Coaching Academy! Please take a moment to fill out the following form. This will help us match you with the best possible instructor for your personality, needs and goals. Thank you for taking the time to provide these details and we will get back to you ASAP! 🎶
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What is your first name? *
What is your last name? *
What is your email address? *
What is your full address? (Please include apt. #, city and zipcode) *
What is the best phone number to reach you? *
Preferred method of contact *
Required
What is your availability for ongoing lessons? Please include your timezone. (Example: Mondays 10 am - 2 pm, Thursdays and Fridays after 4 pm all in PST OR Monday and Tuesday mornings, Thursday evenings and Saturday afternoons in EST) *
What is your Date of Birth? If you are a parent/guardian please provide the student's birthday. *
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