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Scottsdale Piano Academy Student Application
Your Full Name
Full Name of Student Applying (if different than above)
Age of Student
Email Address
Best Phone Number to Contact
Who referred you to the studio?
Current Student/Family Friend
School Teacher
Internet Search
If you were referred by a teacher or current student, please enter their name below.
Preferred Lesson Day(s)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Weekday Time Preference - First Choice
12:00-2:00
2:00-4:00
4:00-6:00
6:00 or later
Weekday Time Preference - Second Choice
12:00-2:00
2:00-4:00
4:00-6:00
6:00 or later
Weekend Time Preference
Morning
Early Afternoon
None
Please comment on any prior PIANO experience of student:
Please comment on any prior MUSICAL experience of student (band, orchestra, choir etc):
This question is to be filled out by the adult, parent or child applying: Why do you, or your child, want to begin/continue piano lessons? Describe the goals and expectations you have yourself, or for your child's lesson experience. Also include any additional information that you think I should know. Please be specific.
