Piano Class Interest Form

Complete this form if you are interested in a Group Piano Lessons for your beginning piano student (the student has had no or few lessons on piano).

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My son/daughter is available at the following times for a FREE group trial lesson:

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Parent Name: *

E-mail address: *

Student name: *

Student grade: *

Student age: *

Do you have a piano or keyboard at home? *

How many lessons has your student had? *

Tuesday Aug 29th at 6:00 p.m.

Wednesday August 30th at 6:00 p.m.

Thursday August 31st at 6:00 p.m.

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Note: Fields marked with * are required