Karen Bartman
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Student Information
Please be sure to scroll all the way down to complete all information. Thank you.
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Student's Full Name
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Birthday
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School Attending
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Student's Email (if 12 or older)
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Student's Cell Phone (If 12 or older)
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Primary Parent's Name (First and Last)
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Primary Parent's Cell Phone
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Primary Parent's Email
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Primary Parent's Occupation
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Address (inc. city, state, zip)
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Home Phone Number (If applicable)
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Secondary Parent's Name (First and Last)
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Secondary Parent's Cell Phone
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Secondary Parent's Email
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Secondary Parent's Occupation
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Years of Piano Instruction
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Suzuki Book Level: Select One
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Book 1
Book 2
Book 3
Book 4
Book 5
Book 6
Book 7
Advanced
Does Family Have a good acoustic (non-electric) piano that is well-tuned and maintained? Choose One
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Yes
No
Need guidance
Will Family encourage and support music listening as follows: Select One
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Suzuki Books 1-2: Two hrs. daily of Suzuki Books
Suzuki Books 3-4: One hr. daily of Suzuki books; one hr. other classical piano repretoire
Suzuki Books 4-5: One hr. daily of Suzuki books; plus various classical including YouTube of current repretoire
Will Family support daily practice (minimum of 6 days per week)?
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YES
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