The Best Online Piano Lessons Experience

Registration Form

Complete this form

Complete the registration form either by:

1) Filling out this form by hand OR

2) Completing the Google Form OR

3) Copy and pasting these and sending via text

Student First Name:

Student Last Name:

Student Email Address:

Send auto Email reminders 24h before each lesson: Yes/No

Student Phone Number:

Send auto Text reminders 2h before each lesson: Yes/No

Student Date of Birth (Optional):

Adult Student: Yes/No

(Leave blank if Adult Student)

Parent First Name:

Parent Last Name:

Parent Email Address:

Send auto Email reminders 24h before each lesson: Yes/No

Parent Phone Number:

Send auto Text reminders 2h before each lesson: Yes/No

Create a WhatsApp group for us (Student, Parent and Teacher): Yes/No