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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Name and Last Name
Phone number xxx-xxx-xxxx
Best way and time to reach you.
Would you like to schedule a free phone consultation?
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.
Which lesson length works for you?
Music reading level
Student can read music
Student can not read music
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
Do you have an Instrument? All students are required to have an instrument at home before they start the lessons.
Scheduling preferences - We only teach in-person lessons on Tuesdays, Wednesdays, and Fridays. Virtual lessons are offered on Mondays and Thursdays.
Any day works
What time(s) range would work best for you?
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.
How did you learn about us?
Facebook Page or Ad
Yelp Page or Search
Referral from Friend
Do you have any other information you would like us to know?
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