Waiting List Request
Kimberly's Piano Room
Email address *
Do you agree to my 2021 Studio Policies? *
Please read to ensure you're happy with lesson fees etc. https://pianoroom.nz/wordpress/wp-content/uploads/2020/11/2021-Studio-Policies.pdf
Child's Full Name *
Child's Date of Birth *
MM
/
DD
/
YYYY
Parents'/Caregivers' Names *
Phone Number/s *
Child's previous/current musical education *
Parents'/Caregivers' musical background *
Why would you like to put your child into piano lessons? *
What kind of piano/keyboard do you have in your home? *
How much practice would you expect your child to be able to do during the week? *
What school does your child attend? *
What is the earliest time you could be at a lesson after school? *
What is the latest time your child could finish their lesson? *
Are there any days/times you could not attend a lesson? *
What are your ideal lesson times/days? *
Any other comments?
A copy of your responses will be emailed to the address you provided.
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