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Rita's Private Studio Survey
Thank you for your interest in lessons at Rita Music Studio! Please fill out the form below, and we will contact you to arrange a free 15 minute trial lesson. After completing this survey, you will also receive a studio policy, including lesson prices. If you have additional questions, please feel free to contact us at ritamusicstudio@gmail.com
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Email *
What is the student's current level?
 *
Parent/Adult Name  *
Parent/Adult Phone Number
 *
Child's Name (if applicable)
Child's Age (if applicable)
Child's Grade (if applicable)
Clear selection
If you answered intermediate or advanced above, please briefly write what (if any)  competitions or evaluations you have participated in.
Does the student have access to a piano or keyboard?
 *
Can the student read music?
 *
How old is the student? *
Does anyone in the home have a musical background? If yes, how extensive is the background? *
Any learning process or physical issues I should be aware of?
What kind of music do you/your child want to learn? *
Why are you /your child interested in piano lessons at Rita Music Studio (a high level of commitment is required for lessons with Rita)?
 *
Briefly state what your musical goals are for  you /your child *
Any additional comments?
Submit
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