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Home
Classes
Ages 4-6
Beginners (Children 7+)
Beginners (Teens/Adults)
Intermediate/Advanced
Group
Online
Technology
Tech in the studio
App Games
Composition Apps
Book Companion Apps
Tuition
Tuition
Child/Teen New Student Form
Adult New Student Form
About
Meet the Teachers
News
Current students
Student Portal
Studio Policy
Handouts
Contact
New Student Form
Please fill out this form for me to keep in your student file.
*
Indicates required field
Name of student
*
First
Last
Age of student
*
Student birthday month and day (so I can give a studio birthday present/play a birthday themed piano game that week)
*
Name of parent/guardian
*
First
Last
[object Object]
Email
*
Phone Number
*
Name of other parent/guardian (if applicable)
*
First
Last
Email of other parent/guardian (if applicable)
*
Time Zone
*
Eastern
Central
Mountain
Pacific
Other
What kind of instrument (piano, keyboard, or other) do you have at home?
*
Availability for lessons (choose all that apply)
*
Weekday mornings
Weekday afternoons
Weekday evenings
Saturday
Does your child have access to an iPad at home?
*
Yes
No
Has your child taken lessons before? If so, when and for how long? What books were used?
*
What are your goals for lessons? What kind of music or skills is your child interested in learning?
*
How did you hear about the studio?
*
Any additional questions, concerns or things you would like me to know?
*
Submit