Name _____________________________Address ____________________________Phone Number ______________________Text? Y or N Email __________________How often is email checked? ____________Preferred Method of Contact___________Emergency Contact Name______________Number____________________________Allergies? __________________________Hobbies or Interests __________________Styles of music you want to learn _________________________________________Have you taken any kind of music

Amanda’s Piano

Name _____________________________Address ____________________________Phone Number ______________________Text? Y or N Email __________________How often is email checked? ____________Preferred Method of Contact___________Emergency Contact Name______________Number____________________________Allergies? __________________________Hobbies or Interests __________________Styles of music you want to learn _________________________________________Have you taken any kind of music

Amanda’s Piano

Name _____________________________Address ____________________________Phone Number ______________________Text? Y or N Email __________________How often is email checked? ____________Preferred Method of Contact___________Emergency Contact Name______________Number____________________________Allergies? __________________________Hobbies or Interests __________________Styles of music you want to learn _________________________________________Have you taken any kind of music

Amanda’s Piano

Name _____________________________Address ____________________________Phone Number ______________________Text? Y or N Email __________________How often is email checked? ____________Preferred Method of Contact___________Emergency Contact Name______________Number____________________________Allergies? __________________________Hobbies or Interests __________________Styles of music you want to learn _________________________________________Have you taken any kind of music

Amanda’s Piano