New Pupil Registration

New Pupil Registration

To be completed only after booking your first piano lesson.

Is this the first time you have booked a lesson with me?
I am required to keep records of my pupils for business purposes. Please complete your details below.
If you have booked the lesson for a child under 16 years, please enter their name here.
Data of Birth is needed for entry into ABRSM exams. Please enter the pupil's date of birth.
I will use your landline and/or mobile phone number to contact you about lessons or, if you have left a child with me and, there is an emergency.
I will use your email address to communicate with you about the lessons you have booked and to answer any questions you ask between lessons.
Student Newsletter *
I also publish a Students Newsletter that contains general tips and advice about your piano education. Would you like to subscribe?
Please tell me a little about yourself; do you play already, can you read music, do you have a piano at home... that type of information. This will help me plan your lessons.
In that case, thanks for booking with me again!