Family Piano Academy Free Trial Request Form
Email address *
Student's Name *
Your answer
Parent Name (if student is a minor)
Your answer
Phone number *
Your answer
Age *
You can write "adult" if you are an adult.
Your answer
Student's experience Level *
Area of Interest *
Location *
Please note the Glenwood location is only available on Mondays, Wednesdays, and Thursdays 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)
Your answer
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