First Name
*
Last Name
*
Email
*
Phone
*
Who Are You?
*
Mother
Father
Grandparent
Guardian
Other Family Member
Family Friend
Other
Who Is This For?
*
Son
Daughter
Multiple Children
Self
Friend
Other
Student Name (If other than self)
Student Age Range
*
4 to 6
7 to 9
10 to 13
14 to 17
Adult
50+
3 and under
What benefits are the most important to you for the student? (Check all that apply)
Cognitive Development
Academic Performance
Emotional Intelligence
Fine Motor Skills and Coordination
Social and Behavioral
Problem Solving Skills
Long-Term Musical Engagement
Focus and Discipline
What would you like to achieve?
Explore and nurture my child's interest
Arts and Culture
Build confidence
Strive for mastery
Bond with my child through music
Musical education
Musical collaboration with others
Accreditation for life opportunities
Entertainment
Sense of accomplishment
What would you like help with?
I'm not musically inclined and would like guidance on how to help my child.
I don't have a piano, will I need one?
I/my child have some experience with piano and I would like an assessment.
How can I use ESA funding for your school?
What accreditation opportunities are available for my child?
I would like to know more about your teaching methods and curriculum.
My child has a learning disability.
How do I know if my child is ready for piano classes.
Other
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