APPLY FOR PIANO LESSONS WITH STEPHANIE FUNG

First name

Last name

Phone

How did you find out about us?

Student's Name

Student's Age

Which days is the studeat vailable for lesson?

Mon

Tue

Wed

Thu

Fri

Sat

Sun

1st Time Choice

Student's Level

Will a parent or guardian be overseeing the student's daily practice?

Yes

How long are your current lessons?

2nd Time Choice

2nd Tme Choice

Why is the student taknig lessons?

What type of piano do you have at home?

Current Teacher's Name

Please pick which events you or your student maybe interested in?

Exams

Recitals

Master Classes

Competitions

Why is it you are changing teachers?

Goals and Expectations

Tell us more about you or your child that you feel I should know:

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