Child Piano StudyPlease fill out all fields 🛈Parent Contact InfoParent's first nameParent's last nameEmailChild InfoChild's first nameChild's last nameChild's age5 6 7 8 9 10 11 12 13 14 15 16 17Scheduling InfoWeekly lesson times are offered Monday through Friday. Which day(s) would you prefer?MondayTuesdayWednesdayThursdayFridayWhich time period(s) would you prefer? (Lessons are 30 minutes)Afternoon (3PM - 6PM)Evening (6PM - 8PM)Afternoon or EveningPiano BackgroundHas your child ever taken piano lessons before?YesNoDoes your child have an instrument for practicing?YesNoHow did you hear about us?