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REGISTRATION fORM
Parent/Guardian
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First
Last
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Student Name
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Pronoun
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Age or Birthday
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Phone Number
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Email
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City, State / Country
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Video Preference for Lessons
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FaceTime
Zoom
Skype
Any
Other
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Video Phone Number or Username/Email
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Level
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Complete Beginner
Beginner (Starting Over)
Early Intermediate
Intermediate
Late Intermediate
Advanced
Comment
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Optional Details
Length and frequency of past lessons (ex. an hour a week)
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Practice habits: include length/frequency
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What did you enjoy in your previous lessons?
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What could have been better in previous lessons?
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Pieces that you've played or currently enjoy playing :
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Have you performed in recitals?
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Yes
No
Comment
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Have you participated in competitions?
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Yes
No
Comment
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What have you studied?
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Sight-Reading
Ear-Training
Dynamics
Ryhthm
Improvisation
Composition
Classical
Jazz
Pop
Songwriting
Composition Forms
Chords
Scales
Arpeggios
Hand Movements for tone production
Various hand positions for technique
Pedal Technique
Chord Progressions
Memorization Skills
Performance Skills
Competition Skills
Audition Skills
National Music Examination Preparation (ex. ABRSM)
Mindfulness
Breathing Techniques
Gospel
Country
R & B
Music Production
Audio Engineering
Music History
Music for Relaxation
Add anything else you've learned or any comments you may have regarding previous studies
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Musical interests and future goals
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