LESSON INQUIRY FORM

To inquire about studio availability and lesson fees, please complete the form below or contact me at my studio phone, 954-933-6440.

Student Name: *
Student Name:
Parent Name: *
Parent Name:
Address: *
Address:
Phone: *
Phone:
Study Track: *
Please select the length of lesson you prefer. I offer 30 min, 45 min, and 60 min lessons. For Composition students, only 60 min lessons are offered.
Estimated Start Date: *
Estimated Start Date:
Please briefly describe the Student's prior study of piano (if any) and for how long: