Student Application
Student's Name
Your answer
Birthday
DD/MM/YY
Your answer
Current School Grade
(if applicable)
Lesson Length Desired
Student’s Practice Instrument:
Has s/he previously taken any piano lessons?
If you answered "yes" to the above question, please list piano books the student currently owns and indicate which books s/he has most recently been working from.
Your answer
How did you hear about Charlotte’s Piano Studio?
Your answer
Parent/Guardian Name
(if student is under age 18)
Your answer
Hometown
Your answer
Contact Number
Your answer
Email
Your answer
Preferred method of contact:
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms