STUDENT - Information
Please fill in the following information in order to help me gain a better understanding of your child and their background.
Sign in to Google to save your progress. Learn more
Address *
Needed in case I need to send mail to the student.
Other Information (known allergies, disabilities, etc.) Please include any learning disabilities. *
Please provide a brief description of your child, including temperament, learning style, what motivates them, or any other information you feel would enable me to better understand and teach them. *
Please share about your relationship with your child. How do you get them to do chores, homework, or other important tasks?
*
Please enter all extra-curricular activities (sports, school clubs, church activities, etc.) that your child is currently participating in, and how often they attend per week.

This is important to think about how you will fit their weekly piano lesson, and daily piano practice into your schedule.
*
Are you willing to schedule and ensure that daily practice is completed? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.