PRIVATE PIANO/KEYS LESSONS Name: * First Name Last Name Email: * Phone (###) ### #### Location PLEASE ENTER YOUR SUBURB OR IF YOU ARE COMFORTABLE YOUR ADDRESS (TO CONSIDER TRAVEL TIME) Age Range 10-15 yrs 15-25 yrs 25-45 yrs Other What do you want to achieve by the end of the lessons Experience Beginner Intermediate Expert Describe Your Music Taste Days/Availability Thank you!