Piano Key Lessons

REGISTRATION

Please fill out the information below

to register your child.

Child's Name

Child's Birth Date (Month/Day/Year)

Age

Address

Phone Number

Name of Practice Parent: (Who will be assisting with daily practice sessions at home.)

How did you find us?

Do/Will you have an acoustic or digital piano with 88 keys?

Do you (the participating parent) play the piano?

Name other instruments which you and/or your spouse play?

Is your child involved in any other musical program (such as Suzuki (strings) Orff or Traditional)?

Do you own a CD player in your home?

Are you prepared to supervise your child's practice?

Are you prepared to observe your child's weekly individual lesson and take notes?