St. Augustine Piano Academy
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Dr. Mimi Zhang
Dr. David Mach
The Echo Duo
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Lesson Request Form
Schedule your audition today!
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First and Last Name
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of can (if
Email
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How did you hear about us?
Local Ad/Facebook Ad
Referral
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Please select the lesson format (s) you are interested in
*
Private lesson (lesson length recommended after audition)
Group piano class (all classes are 60 minutes)
Travel lesson or Online lesson
Please select all that apply.
Type of student
*
Adult
Child
Please select all that apply.
Age of student (if not adult)
Years of piano lessons (if applicable)
# of students
1
2
3
4
5
6
Tuition and registration fee discounts available for multiple siblings.
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