Name of Student
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First Name
Last Name
Name of Parent(s)/Guardian(s) (if applicable)
Primary Contact Person (if student is a minor)
Street Address
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City, State, Zip Code, Country
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Phone
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(###)
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####
Email
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Student's Age
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Lesson Length
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How often would you like lessons?
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What style(s) would you like to learn?
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Why do you want to take lessons?
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Are you currently taking lessons with another teacher? If so, what are you studying (worship, classical, jazz, etc.)?
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Describe your journey of playing the piano (how long you have been playing, what styles you have played, how advanced you consider yourself to be, etc.).
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Describe your heart for worship and your journey of learning to worship the Lord.
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List 5 worship songs that you would like to learn how to play (if applicable).
If you are currently playing classical music, list 3-5 pieces that you have played recently.
What are your strengths and weaknesses at the piano?
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What type of piano do you have at home (acoustic or digital, 88 keys or 61 keys, etc.)?
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Would you be able to practice 30 minutes a day, 5 days a week? (Additional practice time may be necessary if learning classical music at the intermediate level.)
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Approximately how long are you looking to take lessons (3 months, 6 months, 1 year, 3 years, etc.)?
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List your top 3 preferred time slots for weekly lessons.
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List the times that you are unable to schedule lessons due to work, school, and other commitments.
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When would you like to start lessons?
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Do you have any additional questions, comments, or concerns?
How did you hear about online lessons with Makayla?
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Please read the Lesson Policies *
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