Sign up for Piano Lessons in Tacoma

Lesson INterest Form

If you are interested in piano lessons for you or your child, please fill out this form.

* Indicates required field

Parent Name *

First

Last

Student Name *

First

Last

Age of Student *

Lesson Time Slot (please check all possibilities) *

Tuesday P.M. Wednesday P.M. Friday P.M. Saturday A.M.

Parent Reads Music *

Yes No

Parent plays an instrument *

Yes No

If yes, which instrument? *

Student has previous piano experience *

Yes No

If yes, most current piece studied *

If yes, length of total previous piano study *

Student has reading/theory experience *

Yes No

Goal for my child this year *

Phone Number *

Email *

Additional Email *

Submit