Summer Piano Lessons 6 Week Course

Parent Information:
Parent(s) Name______________________________________________________________
Parent(s) Email______________________________________________________________
Parent(s) Home Phone#_______________________________________________________
Parent(s) Cell Phone#_________________________________________________________
Parent(s) House Address______________________________________________________
Student Information:
Students Name______________________________________________________________
Students Birthday____________________________________________________________
Questions:
Do you have a piano or digital keyboard?__________________________________________
Has this student had any sort of music lessons before?_______________________________
Your Summer Schedule
Week 1____________________________________________________________________
Week 2____________________________________________________________________
Week 3____________________________________________________________________
Week 4____________________________________________________________________
Week 5____________________________________________________________________
Week 6____________________________________________________________________