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Piano Lessons
Registration Form
Please complete a separate registration form for each student.
*
Student First name
*
Student Last name
*
Grade:
Parent/Guardian Full Name:
*
Parent/Guardian Phone Number:
*
Parent/Guardian Email:
*
Has your child ever received piano lessons?
Yes
No
*
If Yes, please indicate their most recent level or describe their experience:
*
Has your child taken lessons for any other musical instrument?
Yes
No
*
If Yes, please list the instrument(s) and briefly describe their experience:
Please select the student's current piano skill level:
Beginner (no prior experience or just starting)
Elementary (can play simple pieces, knows basic scales/chords)
Intermediate (comfortable with standard repertoire, more complex rhythms, scales, and arpeggios)
Advanced (proficient in difficult pieces, strong technical and theory knowledge)
*
Please select the day and time for Piano lessons. Families can pay monthly or for the entire school year.
Tuesdays - 3:00pm to 3:30pm (4 February sessions)
$180
Tuesdays - 3:30pm to 4:00pm (4 February sessions)
$180
Tuesdays - 4:00pm to 4:30pm (4 February sessions)
$180
5 month package (Jan 6 thru May 26) Every Tuesday
$770
Submit
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