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The Piano Shed - Prospective Student Questionnaire
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* Indicates required question
Student Name(s)
*
Your answer
Student Age(s) (if under 18)
Your answer
Parent Name (for students under 18)
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Address (or Time Zone for Online Students)
*
Your answer
Previous musical experience/lessons?
*
Your answer
Goals in taking music lessons?
*
Your answer
Favorite types of music?
*
Your answer
If transferring from a different teacher/studio, reason for leaving:
Your answer
Instrument to be played at home (i.e. acoustic piano, keyboard, etc):
*
Your answer
List any special needs, physical limitations, allergies, or medical issues
*
Your answer
What's your availability for lessons? Please list days and times.
Your answer
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