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Dahl Private Studio Waitlist
1
Contact Name
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First Name
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2
Mobile Number
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Area Code
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3
Can you send and receive texts on this number?
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4
Address
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Street Address
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Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
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5
E-mail
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6
How did you hear about Dahl Studio?
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7
Student Name
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First Name
Last Name
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8
Student Birth Date
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Month
Day
Year
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9
Prior Experience
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What prior experience has the student had with music instruction, including piano instruction as well as other instrument/vocal instruction?
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10
What instrument/instruments are you interested in studying?
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11
Preferred Lesson Days and Times
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Please indicate your preferred lesson days and times.
Tuesdays
Between 8am and 2pm
Wednesdays
After 3pm
Thursdays
I would need a different day/time
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12
Studio and Piano Goals
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Please tell me a little about why you would like to join our studio specifically, or why you would like your student to pursue piano in general. What are your goals for your student? What are your student's goals?
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13
Getting to Know You
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Tell me a little about your family dynamics. Do you have a background in music? What level of help will your student have at home? Are there any medical issues, food sensitivities, or special needs I should be aware of regarding your student? Is there anything else you would like to share?
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14
Studio Policies
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Please read the following studio policies and check each, indicating you have read and agree to abide by them.
Tuition is auto-withdrawn monthly.
Tuition is due regardless of how many lessons are attended. For private piano, I do try to accommodate rescheduling lessons if given enough notice. Short notice due to illness can be accommodated. Please do not come to lessons if sick!
Summer Camp is required to retain your lesson spot.
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15
Media
*
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I give permission for Dahl Studio to use my child's likeness on the Dahl Studio fb page and in other social media and advertisements.
Yes
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16
Equipment at home
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I understand that private lessons require daily access to an instrument at home. For piano, this means either a regularly tuned full-sized acoustic piano or a full-sized digital piano with weighted keys and pedal.
Yes
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17
Additional Comments
Please leave any additional questions or comments here or contact us at Dahlstudiolv@gmail.com or by phone at 702-283-6163
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