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Contact Information
Lesson Information Request Form
We teach in-person and virtual piano lessons. All students are required to have an instrument at home.
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* Indicates required question
Name and Last Name
*
Your answer
Email
*
Your answer
Phone number xxx-xxx-xxxx
*
Your answer
Best way and time to reach you.
*
Your answer
Would you like to schedule a free phone consultation?
*
Yes
No
Type of Lessons
Beginning Piano Lessons
Intermediate Piano Lessons
Advanced Piano Lessons
Student Age - We don't accept piano students younger than 6 years old.
*
6-7
8-9
10-13
14-17
18-25
26-44
45-64
Which lesson length works for you?
*
30 minutes
45 minutes
60 minutes
Music reading level
*
Student can read music
Student can not read music
Student Experience
*
No experience at all
Some self-taught experience
1 to 2 yrs of formal training
2 to 4 yrs of formal training
4+ yrs of formal training
Required
Do you have an Instrument? All students are required to have an instrument at home before they start the lessons.
*
Yes
No
Scheduling preferences - We only teach in-person lessons on Tuesdays, Wednesdays, and Fridays. Virtual lessons are offered on Mondays and Thursdays.
Monday
Tuesday
Wednesday
Thursday
Friday
Any day works
Other:
What time(s) range would work best for you?
3-5 PM
5-7 PM
Whenever the teacher is available
Will the student be enrolled in a Charter School? If yes, provide the name of the Charter School.
*
The process for enrollment is different for Charter School students. We are vendors for some of the Charter Schools in the area, not all.
Your answer
How did you learn about us?
*
Google Search
Facebook Page or Ad
Yelp Page or Search
Referral from Friend
Other
Do you have any other information you would like us to know?
Your answer
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