Piano Prep Program Application
This application is for NEW students interested in the Piano Prep Program. This application does not require any payment. Once this form is received, we will contact you to discuss teacher availability, payment, and scheduling. Thank you for you interest in the Piano Prep Program.
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Student's First Name *
Student's Last Name *
Student's Preferred Name (optional)
Parent/Guardian Name *
Parent/Guardian email *
Parent/Guardian phone number *
Student's Birthday *
MM
/
DD
/
YYYY
Student's Current School *
Student's Grade in School, Fall 2025 *
Number of years of previous piano instruction
What kind of piano do you have at home? *
Check all times of day you are available for lessons? *
Required
Check all days that you are available for lessons *
Required
We will contact you to discuss scheduling after we have received this application. To help us find the best fit for your student, please list specific lesson times that you would prefer.
Which teacher would you prefer?  *
Please include any other information you think would be helpful for us to know.
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