fbpx

Piano Academy Waiting List Form

Piano Academy Waiting List Form

To be included on our Waiting List, please complete the following form, then email to:

Akemi Schubert
akemi927@icloud.com

Date of Waiting List Application: _____/_____/ 20______

Parent(s) name: ____________________________________________

____________________________________________

Mobile phone number: ____________________________________________

Email address: ____________________________________________

Child’s name: ____________________________________________

Year level: _______

Does your child have any music experience? Yes / No
If yes,
Which instrument? ________________________

How long has s/he been playing? _____________

Do you have a piano or keyboard at home to practice? Yes / No

Thank you for your interest in your child learning piano at Akemi’s Piano Academy.
Mrs Schubert will be in contact shortly.

0
    Your Cart
    ×