First Name
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Last Name
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Full Name
Email
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Mobile
Phone Number
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Phone to pass to Monday
My enquiry is about...
Piano lessons for myself
Piano lessons for a child
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Student First Name
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Student Last Name
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Full Name
Would you like to attend lessons at the teacher's home studio or at your home?
Teacher Studio
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Where are you located?
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Address
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Preferred Teacher / Location
If you have a specific teacher or studio location in mind, please let us know. Otherwise please let us know the suburb where you live or work and we will advise the closest teacher.
Preferred Teacher
If you have a specific teacher in mind, please let us know.
What is your current grade level in AMEB Piano
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I'm not sure
Absolute Beginner
Preliminary
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AMusA
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Preferred days / times for lessons
Please briefly describe your musical background, including any previous training in piano, other instruments, or voice
Please briefly describe your child's musical background, including any previous training in piano, other instruments, or voice
Other - please specify
Who referred you?
What are you interested TO PASS TO MONDAY
Anything else you'd like to share
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