Enrollment form

Name:

First

Last

Date of Birth:

Gender:

Parent / Guardian's Name (if student is under 18):

Email:

Phone number:

Address (optional, for correspondence):

Lesson Preference:

Current Piano Skills:

ABRSM or Trinity Exam Details (if applicable):

Select the grade for which you are appearing in the exam.

Have you previously taken any ABRSM exams?

Name: do many

Have you previously taken any Trinity exams?

Do you have prior experience playing the piano?

If yes, how many years?

Preferred Lesson Format:

Preferred Lesson Duration:

Preferred Days for Lessons (select all that apply):

Why do you want to learn the piano? (short answer field)

Do you have a specific piece or goal you’d like to achieve?

Do you own a piano or keyboard for practice?

Emergency Contact Information (optional):

I confirm that the information provided is accurate.

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