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Take Youth Lesson Survey
Equipping you for life's Musical Moments.
Answer a few quick questions to help us find the best youth lesson for your student.
Main Contact
First Name:
Last Name:
Address:
City:
Zip:
Relationship to Student:
Email:
Cell Phone:
Work Phone:
Home Phone:
Preferred method of communication:
Phone
Email
Text
Alternate Contact
(optional)
First Name:
Last Name:
Address:
City:
Zip:
Relationship to Student:
Email:
Cell Phone:
Work Phone:
Home Phone:
Preferred method of communication:
Phone
Email
Text
Student Information
Student's First Name:
Student's Last Name:
Which lesson location would you choose?
McAllen
Corpus Christi
Age:
Birthday:
Level of piano experience?
Beginner
Intermediate
Advanced
What goals would you like to achieve from taking lessons?
Additional Information
Do you have a piano at home?
Yes
No
Age of piano:
Type of piano:
Portable Keyboard
Organ
Upright Piano
Digital Piano
Grand Piano
None
Are you interested in:
Purchasing
Renting
Upgrading your instrument
Not interested
Do you have any questions or comments you would like to add?
Submit
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Used Pianos
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Institutional Pricing
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