Piano salon jiyugaoka Contact Us
Trial lesson application form
Full name
Gender
Age
※Please select
４～Elementary school students
Elementary school students
１３～２０year-old
２１～３０year-old
３１～４０year-old
４１～５０year-old
５１～６０year-old
６１～７０year-old
７１～８０year-old
８１～９０year-old
９１～１００year-old
１０１year-old～
Address
Phone number
E-mail address
●Trial lesson desired date and time First hope
※Opening hours: Tuesday to Saturday 10:00-20:00
※The time is in increments of one hour.
Desired time
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
Trial lesson desired date and time second hope
※Opening hours: Tuesday to Saturday 10:00-20:00
※The time is in increments of one hour.
Desired time
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
Trial lesson desired date and time third hope
※Opening hours: Tuesday to Saturday 10:00-20:00
※The time is in increments of one hour.
Desired time
10:00
11:00
12:00
13:00
14:00
15:00
16:00
17:00
18:00
19:00
20:00
Desired day of the lesson
After enrolling, please check the days of the week (s) that you can take lessons.
※Please enter the desired time in "Other"「その他」
Tuesday
Wednesday
Thursday
Friday
Saturday
Has anyone ever learned to play the piano?
Yes
No
Others
Piano experience
Without
Classic
Pops
Unanswered
Instruments with experience playing
Vocal
String instruments (violins, etc.)
Brass instruments
Wood wind instrument
Guitar
Bass
Drum
Others
Music I listen to a lot
Classic
Pops
Jazz
Electronic Music
Film Music（Film music）
Game Music
Ethnic Music（Folk music）
Others
Inquiry contents, what you want to learn in the lesson (please feel free to write other)
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Piano salon jiyugaoka Contact Us