Piano Student Information Form
Email address *
First Name *
Your answer
Last Name *
Your answer
Grade *
Birthday *
MM
/
DD
/
YYYY
Phone # *
Your answer
Address *
Your answer
Guardian's name *
Your answer
Guardian Phone #
Your answer
Guardian's email *
Your answer
Please list any jobs or time obligations (Clubs, organizations, athletics). *
Your answer
What is your favorite type of music? *
Your answer
Please list previous musical experience *
Your answer
What do you hope to gain from taking piano class? *
Your answer
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