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Lesson Inquiry

Student's Name *

First

Last

This student is: *

Male
Female
Other / Prefer not to say

How did you find out about Clavier-Werke? *

Family, friend or neighbor
Teacher at school
Signage
Printed Ad
Online Search
Yelp
Facebook
Instagram
Other

Location *

Clavier-Werke West Lake
Clavier-Werke South

Please indicate where the student would like to attend lessons

Instrument and Classes *

Piano
Voice
Guitar
Violin
Viola
Cello
Theory Lab

Please indicate which instrument(s) and class(es) the student prefers

Instrument and Classes *

Piano
Voice
Guitar
Violin
Viola
Cello
Theory Lab

Please indicate which instrument(s) and class(es) the student prefers

Do you already have a piano? *

I already have an acoustic piano
I already have a weighted keyboard
I have access to a piano for daily practice
I will be purchasing a piano or weighted keyboard after enrollment

Please mark one of the above

Do you already have an instrument? *

I already have an instrument
I have access to an instrument for daily practice
I will be purchasing/renting/borrowing an instrument before the very 1st lesson.

Please mark one of the above. Students are required to bring an instrument to their trial lesson.

Do you already have a guitar? *

I already have a guitar
I have access to a guitar for daily practice
I will be purchasing a guitar after enrollment

Please mark one of the above

Private Lesson Length *

30 minutes weekly
30 minutes twice / week
45 minutes weekly
45 minutes twice / week
60 minutes weekly
90 minutes weekly
Other

Please indicate the student’s preferred lesson length

Scheduling Preferences *

Please indicate earliest lesson start and end times per day.

Experience Level *

Please provide past music experience. (“Beginner”, “2 years of piano”, etc.)

Disabilities, Medical Conditions or Food Allergies *

Does your child have any disabilities or medical conditions you would like to share with us in confidentiality? This type of information can often assist us when working with a student in their lesson.

Age Range *

Pre-school
K – 12th grade
Adult

Please indicate where the student would like to attend lessons

Student's Date of Birth *

Please indicate the student’s birth month, date and year

Student's Grade Level *

Student's School *

Please indicate which academic school the student attends

Parent / Guardian Name *

First

Last

Email *

Phone

Alternate Contact Name *

First

Last

Email *

Phone

Address *

City *

State *

Zip Code *

Have you read & agreed to the Clavier-Werke Statement of Policy found here: clavierwerke.com/policies ? *

Yes

Have you added us to your contacts or safe sender list to ensure our response email shows up in your inbox? *

Westlake location: clavierwerke@gmail.com
South location: clavierwerkesouth@sbcglobal.net

Locations

Southwest Austin (512) 288-7664
5900 W. Slaughter Lane, D-525
Austin, Texas 78749
clavierwerkesouth@sbcglobal.net
Directions To South West Location
Read Our Yelp Reviews
West Austin (512) 328-5777
1000 Westbank Drive, 6A
West Lake Hills, Tx 78746
clavierwerke@sbcglobal.net
Directions To West Lake Location
Read Our Yelp Reviews

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