Piano Lessons at FVL
Enrollment Form
Student Name
First Name
Last Name
Grade
Please Select
Freshman
Sophomore
Junior
Senior
Student Phone Number for lesson reminders
Please enter a valid phone number.
Parent's Names
First Name
Last Name
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.
New or Continuing student
New to piano lessons
Continuing student (have had lessons before)
If continuing, please list number of years of study and names of previous teachers.
Tuition includes 24 lessons and a recital (payable per semester, or full year). Materials are extra.
Full year: $575
Semester- 2 payments due September 15 & January 12: $290 each
Monthly- 4 payments (per semester) due by the first lesson of the month: $80 each
Materials
I will purchase books for my child. Please let me know what to get at Heid or online.
Please purchase the books for me and let me know what to reimburse you.
I will pay a $50 materials allotment in advance for you to purchase materials for my child. Please let me know when this has been depleted.
Lesson time availability (which set for study hall or contact time. Before and after school may be available on limited basis)
Please list some recent pieces you have learned-include composer
I have read the information sheet and know what to expect from lessons. (Parent signature)
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What style of music do you like to listen to (or favorite band/musician)?
What are your hobbies/interests?
What other extra curriculars do you enjoy?
What is your favorite subject in school?
What is your least favorite subject
Please list any allergies I should be aware of (in case I bring in treats)
What do you think is your biggest strength at the piano? (e.g. sight reading, memorizing, scales, practicing, etc.)
What do you think is a weakness?
Would you like an assessment of where you are at by the end of the year?
yes
no
Goals
Improve Sight reading skills
Improve rhythm
Learn more theory
Practice more consistently
Play by ear
Learn about composers
Learn better practice skills to learn pieces faster
Play more musically
Memorize more music to play anytime, anywhere
Listen to more recordings or attend live performances
Compose and/or Improvise
Other
Would you like to participate in WSMA Solo & Ensemble?
Yes
No
Uncertain
Would you like to participate in WMTA auditions?
Yes
No
Uncertain
Would you like to play for chapel?
Yes
No
Uncertain
Interests
Piano ensembles (duets/trios)
Jazz/blues styles
Fast music
Slow & pedaled music
Worship Music
Baroque era (Bach)
Classical Era (Mozart)
Romantic Era (Chopin)
Impressionist (Debussy)
Modern Era (Shostakovich)
Improvising
Composing
American/Patriotic
Piano Concerto
Latin style
Movie/TV themes
Lead/Chord sheets
Popular music
Gaming Music
Broadway/showtunes
Folk/familiar tunes
Ethnic music
Other
Other (specify)
Are there certain songs/pieces you want to learn?
Submit
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