Waiting List form for Children and Adult Piano Lessons in Lordswood, Kent.

I am currently full for the 2023-2024 academic year. If you would like to go on the waiting list, please add your details by using the form below. Please note that it may be a long wait as pupils tend to stay with me long-term. If you have a general question you need an answer to before going on the list, please email me at rachel@flutterbymusic.co.uk

Name of pupil interested in lessons

First Name

Last Name

Is this pupil a:

Child?

Adult?

Parent/Carer name

required if the pupil is a child

First Name

Last Name

Is your child a

Boy

Girl

Child's DOB

(not required for adults!)

YYYY

Sibling's name

Complete if you have another child you also wish to have lessons

First Name

Last Name

Sibling's DOB

YYYY

Contact Telephone Number

Does the pupil(s) have any previous musical experience

Moving from another teacher (please give approx. level and method books used), other instruments played, attended music classes (please specify), sings at school, returning to piano as an adult after playing as a child etc

Instrument

Do you currently have an 88 key acoustic or good quality digital instrument with weighted keys at home?

Yes

Smaller digital piano with weighted keys

Digital piano with 'touch sensitive' keys

Keyboard

Is there anything else you wish to ask or tell me?

Any other questions? If you have a 3rd child interested in lessons, please put their details here.

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