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

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WEBCAM LESSON REQUEST FORM

If you are interested in a webcam 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 day of the week and 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 (or video-conferencing) 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: