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Piano Lesson Interest Form
Please complete the interest form below to receive more information about piano lessons for you or your child. Ms. Connor will contact you within 24 hours to schedule your trial lesson!
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Your Name
*
First
Last
Student Type
*
Child
Adult
Lesson Home Phone
Piano Lesson Plan
Foundational
Developing Skills
Mastery and Craft
I’m Not Sure
Please select a class option
Student Name
*
First
Last
Lesson Format Preference
In-Person
Remote
Hybrid
I’m Not Sure
Email
*
Student Date of Birth
Home Phone
Cell Phone
Student's Current School Grade (if applicable)
Do you have an acoustic piano OR digital keyboard at home?
Yes
No
Would you like to schedule a free, 30-minute trial lesson?
*
Yes, please contact me to schedule a trial lesson.
No, I am simply interested in receiving more information.
Where did you hear about us?
Word of Mouth
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Other
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