Ready to book a lesson? Student's Name * First Name Last Name Student's Birthday * MM DD YYYY Parent's Name (if under 18) First Name Last Name Email * Phone * (###) ### #### What services are you interested in? 30 Minute Lessons 45 Minute Lessons 60 Minute Lessons Theory Lessons Special Occasion Musician Any serious allergies? Have you or your child had any previous piano lessons? * The instrument we have at home is: * An acoustic piano, no cords or buttons Keyboard or digital piano with 88 weighted keys and touch sensitivity Smaller keyboard without weighted keys We do not have an instrument set up yet Do you have a preferred day or time for the lesson? * Do you have any questions before we get started? Thank you! I will be in touch :)