Parent Name
First Name
Last Name
Parent Email
*
Student Name
First Name
Last Name
Student Birthday
MM
DD
YYYY
Student Grade and School
How long has the student taken piano lessons, and with whom?
How long were their lessons? (30, 45, 60 minutes, etc.)
What materials and repertoire were they studying last?
Has your student ever participated in piano recitals or piano festivals?
Do you have an acoustic piano for full-size, fully-weighted keyboard at home? If so, what kind?
Do you have any musical experience, like taking piano (or other instrumental) lessons as a child? If so, do you know how to read music? Don't worry--parental experience with music is not a requirement!
Does your child participate in other extracurricular activities? If so, about how much time do they take each week?
What goals do you have for your child's music study? Do you know if they also have any personal goals?
Does your child have any learning or behavioral challenges that you would like me to know about?
Feel free to provide a brief answer and save an in-depth discussion for our phone call.
Does your child have access to an iPad or tablet? If so, would it be appropriate for me to assign lesson homework to be completed on a device? I am considerate of each piano family's limitations on screen time and adjust screen usage as necessary.
How did you hear about my studio?
Referral from a friend
Social media
Google search
Other
