For the Future Students Of The Brain Garden Piano Studio
2018-2019 Waiting List.
Email address *
Student Name *
Your answer
student age *
Your answer
birthday *
MM
/
DD
/
YYYY
Currently taking lessons? *
if yes, how long? *
Your answer
if yes, why are you seeking a new teacher? *
Your answer
How did you hear about the brain garden piano studio? *
Your answer
Parent Name *
Your answer
phone number *
Your answer
best days for piano lesson *
Required
preferred lesson time between 430pm-9pm Mon-Thur or Saturday 12pm-4pm *
Your answer
do you own a piano or digital piano? not a keyboard. *
If you do not own a piano or digital piano, are you willing to make the investment of a suitable instrument BEFORE beginning piano lessons? *
anything I should know about the student? *
Your answer
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