Registration Form (Piano Lessons – Child) | Family and Friends Music Club

Please submit the form below to register for piano lessons for your child. I will reply to confirm their place and answer any queries.

Parent's Full Name(required)

Email Address(required)

Full Address(required)

Mobile Phone Number(required)

Home Phone Number

Work Phone Number

Name of Alternative Contact Person and Relationship to Child

Alternative Contact Person Phone

Child's Full Name(required)

Child's Date of Birth(required)

Child's Current Age

Child's School

Please list any allergies or medical issues of which I should be aware.

Please use this space to tell me anything else that might help me in preparing for your child's first lesson: musical experience/interests, any anxieties, reading ability/fluency, your expectations for lessons etc.

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