Family Piano Academy Free Trial Request Form
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Email *
Student's Name *
Parent Name (if student is a minor)
Phone number *
Age of student *
You can write "adult" if you are an adult.
Student's experience Level *
Area of Interest *
Virtual or in-person? *
Location *
Please note the Glenwood location is only available on Mondays, Tuesdays, and Wednesdays and for piano lessons only.
Preferred Day *
Check all that apply
Required
Preferred Time *
Required
How did you hear about us? *
Is there anything else you would like us to know about your interests and experience?
This will help us pair you with the best instructor for your goals. Let us know of any specific styles (classical, jazz, pop, etc.), previous experience, or other skills you're interested in (such as songwriting or compositions)
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