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School Grade?/ Adult? *

Have you had Piano Lessons Before? *

What Days work for lessons? *

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Do you Have a Piano or Keyboard at Home? *

Does your Child have any learning differences I should be aware of? (hearing, dyslexia, vision, ADD, etc...) *

How Can I Contact You?

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Parent's Name *

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Phone Number *

How did you hear about Piano Discovery? *

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