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Musical Aptitude Assessment

Student Information

Please fill out this short form so we can schedule you to come in for your Musical Aptitude Assessment.
This assessment normally takes about 30 minutes and costs $15.

Let's get started. Who are we going to work with?

First Name

Last Name

Date of Birth

School Currently Attending

When do you have availability to come in for a short studio tour and a trial lesson?

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Parent/Guardian Information

Now that we know about the student, tell us about yourself! We want to know who you are too!

Name(s) of Parent(s) or Guardian(s), if applicable:

Home Street Address

Address Line 1

Address Line 2

City

Zip Code

Cell Phone Number

Alternative Phone Number

E-mail Address

Do not worry; we hate spam too.

Preferred Point of Contact?

Phone Call

E-mail

Text Message (SMS)

How Did You Hear About Us?

Yelp

Google

Facebook

Other

If "Other", please specify how:

History

How Long Has The Student Learned Piano?

Never / Less than six months

6 months - 1 year

1-2 years

2 years or more

Does The Student Currently Play Any Other Instruments?

Yes

If "Yes", please specify which instrument(s):

Do You Currently Own A Piano At Home?

Yes

If "Yes", please specify what kind of piano you own:

Thoughts & Comments

You're all done! Feel free to submit now or add any thoughts below.

Thoughts or Comments For The Instructor:

The more information you provide for us, the more accurately we will be able to pair you with one of our awesome instructors!

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