Piano Class Registration

Please note:
Class sizes are very limited. Therefor, full payment must be made to reserve your spot in a piano class. Tuition fees are non-refundable. Your commitment is for the entire session.

Complete This Form to Register for
Beginners' Group Piano Class

* Indicates required field

Student's Name *

First

Last

Age *

Grade in School *

Select The Class Of Your Choice: *

Parent's Name(s) *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Does this student have any learning or behavioral difficulties that the instructor might want to be aware of? If so, please describe. *

Does this student have any allergies or medical conditions that we should be aware of? *

Submit

Complete This Form to Register for Beginners' Group Piano Class

Complete This Form to Register for
Beginners' Group Piano Class