Music Makers Registration | Meadowbrook School

Music Makers
Piano Lessons
Registration Form

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

If Yes, please indicate their most recent level or describe their experience:

Has your child taken lessons for any other musical instrument?

Yes

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. NOTE:

Tuesdays - 3:00pm to 3:30pm (4 January sessions)$180

Tuesdays - 3:30pm to 4:00pm (4 January sessions)$180

Tuesdays - 4:00pm to 4:30pm (4 January sessions)$180

5 month package (Jan 6 thru May 26) Every Tuesday$770