Expression of Interest Form - Piano Lessons

This form is not a commitment to enrol, or a guarantee of acceptance; it's a request to be contacted about potentially becoming a student at Miss Nadine's Piano Studio.

Student Name/age

Parent Name

Contact Email

Does the student have any previous experience, or are they a beginner?

Do you currently own, or are you willing to obtain a piano or weighted keyboard for the student to practice on at home?

Lesson type

Please check the box of ALL of the following times that the student would be available for lessons:

Do you have any questions you'd like answered or further information about the student you'd like to relay?

Thankyou for your enquiry!

You will be contacted via your email in the next few days