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Piano Lesson Request
This form is to help me set up our Fall/Winter/Spring piano lesson schedule. Thanks! (If you are no longer interested in lessons, please text me and let me know.)
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* Indicates required question
Last name, First name (parent)
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
Name(s) of piano students
Your answer
Type of lesson requested
*
Private
Group
Required
Comment about type of lesson requested
Your answer
First choice of day for lesson
*
Tuesdays
Wednesdays
Thursdays
Mondays
Required
Second choice of day for lesson
*
Tuesdays
Wednesdays
Thursdays
Mondays
Required
Third choice of day for lesson
Tuesdays
Wednesdays
Thursdays
Mondays
Comment on choice of days
Your answer
First choice of time for lesson
*
Choose
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
Option 7
Second choice of time for lesson
*
Choose
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
Option 7
Third choice of time for lesson
Choose
2:00 pm
2:30 pm
3:00 pm
3:30 pm
4:00 pm
4:30 pm
Option 7
Comment on time for lesson
Your answer
Any other comments about lessons I need to know
Your answer
Submit
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