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