1. I am interested in...(check all that apply): *

Min. playing level for Mr. Shihor: Intermediate (appx. CM 5, ABRSM Grade 4 or RCM Level 5)

Private piano lessons with master teacher with Mr. Shihor (audition required)

Private piano lessons with an OSI certified teacher

A free consultation call to discuss my situation further

2. I hope to find a teacher who could help me: (Check all that apply) *

Explore my interest in piano and develop my musical abilities

Prepare for important performances such as recitals, exams or competitions, etc.

Prepare for college piano auditions

3. How did you learn about us? (Please check all that apply) *

Facebook

Instagram

YouTube

微信 WeChat

小红书 Little Red Book

Referral (please specify the referrer's name in the box below)

4. Student Name *

First Name

Last Name

5. Parent Name (Required if student is under 18)

First Name

Last Name

6. Student Date of Birth *

MM

DD

YYYY

11. Student Mobile Phone (Please enter parent's phone if student is under 18) *

(###)

###

####

May we text message you at this mobile number if the situation deemed appropriate. *

We respect your privacy.

Yes

No

13. The student's current piano playing level (approximately) *

Beginner/Elementary

Early Intermediate/Intermediate

Intermediate/Late Intermediate

Early Advanced/Advanced

Late Advanced/Young Artist

14. How many piano lesson hours (per week) is the student currently enrolled in? *

No piano lesson experience

30 minutes

45 minutes

1.0 hour

1.5 hour

2.0 hours

17. If you are interested in taking private piano lessons, what is your preferred format? (Check all that apply) *

At teachers' studio

Online

A combination of teacher's studio and online

18. If you're matched with the right piano teacher, when would you like to begin lessons?

In a week

In 1-2 weeks

In 3-4 weeks

Other (please elaborate below)