Tell us a little more!

We would love to know more about you! If you’re ready to take the plunge into our piano lessons programs, please fill out the form below and we’ll get you going in classes!

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

(###)

###

####

Student Name

First Name

Last Name

Student Age

Write a short description of students' previous musical experience.

Preferred day(s) for afternoon lessons?

These are 1-hour lessons between the hours of 3-8pm.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Preferred start date:

MM

DD

YYYY

Any special considerations or requests:

(e.g., specific teacher request, scheduling constraints)

How did you hear about us?

Additional comments or questions we can help with:

When would be a good time for us to call and chat about your goals for lessons?

Please list a few days/times that work for a phone call.

Confirmation that the parent has read and agrees to the studio policies?

Yes

No

Studio Policies

Tell us a little more!

Offerings

Links