Lesson Lottery Form Please complete the form to receive a free 30 minute trial lesson. Name * First Name Last Name Email * Phone * Country (###) ### #### Unit Number * Name of Student (If Different from Above) First Name Last Name Age of Student * Lesson Format * Online Lessons In-Home Lessons - NYC Subjects/Instruments of Interest * Piano (Classical) Piano (Jazz) Voice Violin Viola Cello Guitar Harp Flute Clarinet Trumpet Composition Music Theory Electronic Music Level of Experience * No Experience Beginner Intermediate Advanced Do you already possess an instrument? * Yes No Not Applicable Planning to acquire one Preferred Languages English Chinese (Mandarin) Chinese (Cantonese) Spanish French German Italian Korean Russian Swedish Other (Please Indicate Below) Availabilities (Please Provide 2 - 3 Time Slots) * (ie: Mondays - free before 12pm or after 4pm) Special Request or Specific Teacher Additional Comments Thank you! A member from our team will be in touch within 48 hours to match you with a teacher from our roster.
