THE WELL-BALANCED PIANIST
The Integrated Approach Dr. Teresa Dybvig, Director

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ONLINE LESSON REQUEST FORM

If you are interested in an online lesson (through Skype video call), please fill out the following form and click on the "Send Message" button.

Your name:

Where do you live?

What is your time zone? If outside US, please express in GMT +/- format. (I am in the eastern US, which is GMT-5 during the late October through mid-March, and in GMT-4 the rest of the year.)

What is the best weekday time for you to have a lesson, in your local time?

Your email address:

(Please make sure there are no typos in your email address; otherwise, I cannot email you)

Your telephone number, including country code if outside the US and Canada (in case I can't reach you by email):

Your Skype contact:

(Please make sure there are no typos in your Skype contact name; otherwise, I cannot call you with Skype)

Do you have a high-speed Internet connection?
Yes
No

Do you have a webcam?
Yes
No

Have you used your webcam for a video call before?
Yes
No

Can you bring your computer into the same room as your piano?
Yes
No

Please give me an idea about what you want to cover in your lesson: