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Lesson Application
Please complete this form for lesson inquiries.
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* Indicates required question
Parents' first and last name (if under 18 years old)
Your answer
Email address
*
Your answer
Phone number
*
Your answer
Student's first and last name
*
Your answer
Student's date of birth
*
MM
/
DD
/
YYYY
School Grade
Your answer
Previous experience in piano, such as period, books/repertoire, any achievements.
*
Your answer
What type of keyboard instrument do you have at home?
*
Upright Piano
Grand Piano
Electric Keyboard with 88 keys
Other:
Desired lesson length
*
30 mins
45 mins
60 mins
Other:
Do the students wish to take tests and/or participate in competitions?
*
Yes
Yes, taken tests in past
No
Not sure
Any other questions?
Your answer
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