Inquiry form for Piano Lessons

Parent/Guardian Name *

First & Last Name

Parent/Guardian Email *

Student Name *

First & Last Name

Student Birth Date *

IN-PERSON: Which time block(s) might work best for your in-person lesson time? *

Tuesday between 1:30pm & 3:30pm

Tuesday between 3:30pm & 6pm

None of these days/times work for me.

My child is doing virtual lessons.

**Select as many as might work for you. If your child will be taking virtual lessons, please select "My child is doing virtual lessons."

VIRTUAL: Which time block(s) might work best for your virtual lesson time? *

Monday between 10am & 2pm

Monday between 5:30pm & 7pm

Wednesday between 5:30pm & 7pm

Thursday between 10am & 2pm

None of these days/times work for me.

My child is doing in-person lessons.

**Select as many as might work for you. If your child will be taking in-person lessons, please select "My child is doing in-person lessons."

If there are specific times in the time block you chose that do not work, let us know here.

Lesson Length *

30 Minute Lesson

45 Minute Lesson

Preferred Lesson Format *

In-Person (teacher & student wear masks)

Virtual (Zoom or Facetime)

Any Questions?