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Live and Online Piano Lessons for Beginner, Intermediate and Advanced Students
Virtual Piano Lessons Sign Up Form
Parent/Guardian
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First
Last
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Student
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Age or Birthday
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Indicates required field
Phone Number
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Email
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Availability: List days and time frame preferences
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Video Preference for Lessons
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FaceTime
Zoom
Skype
Any
Other
Comment
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Username For Preferred Format
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Alternate Video Contact
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Grade, Major or Profession
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Level
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Complete Beginner
Beginner (Starting Over)
Early Intermediate
Intermediate
Late Intermediate
Advanced
Unsure
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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Books and pieces you used in the past
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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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Virtual Piano Lessons
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