Hill Piano Studio
NEW STUDENT APPLICATION
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Email *
Name of Student *
Age of Student and Birthday  *
What grade is the student in and school attending? *
Name of parent(s) *
What is your first choice of lesson day and time?  *
What alternative days and times is the student available? The more information the better!  *
Does the student have any experience in piano lessons?  *
If yes, please describe which methods were used (ex: Alfred/Faber, Suzuki, Piano Safari, RCM, Simply Piano, etc.) and what level was reached? How long have they taken lessons for? Did they enjoy lessons? 
Is there a particular style of music that the student likes to listen to or any favorite song?  *
Do you have a keyboard or piano in your home? If you don't have an acoustic piano, would you consider purchasing in the future?  *
Piano lessons do require practice to progress. Does the family have the bandwidth to help the student develop a practice routine?  *
Does anyone else in the family home play a musical instrument? *
What are your goals in studying piano?  *
Is there any information about your child's personality or learning style that you would like me to know? 
Who can I thank for the referral?  *
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