Contact Reach Out Today760-691-6893 | daniellemusicstudio@gmail.com Name * First Name Last Name Email * Phone * (###) ### #### What city are you located in? * Are you inquiring about lessons for yourself or a child? * Myself Child Other If you chose other, please share more details: Student Age * Piano Skill Level * New Beginner Intermediate Advanced How many years have you played piano? * 0 1-3 years 3-5 years 5+ Which best describes the piano you have at home? * Acoustic piano (e.g., upright, grand, or baby grand) Digital piano (full-sized, 88 weighted keys) Digital piano (weighted keys, 61 keys or less) Electronic keyboard (portable, typically with unweighted keys) I don’t own a piano or keyboard Did someone refer you? If so, please share who below: Is there anything else you want to share? Thank you!
