Piano Enrichment Registration

Piano Enrichment Class Registration

Please complete the form below to enroll in a piano enrichment class. Complete one form for each child. Be sure to specify which group you are signing up for.

Upon completion, you will be directed to the store page to pay your fee online. If you prefer to pay with a check, please make it out to Mountain Valley Studios, and mail to: PO Box 3024, Burleson, TX 76097-3024

Piano Enrichment Class Registration

* Indicates required field

Student's Name *

First

Last

Group you are registering for. *

Group A Group B Group C

Student's Age *

Is this student currently in piano lessons? *

Yes No

Student's grade in school *

Does this student take lessons at Mountain Valley Studios? *

Yes NO

How many months/years has this student been taking piano lessons? *

At what level is this student currently playing? (Please include the name of any method books you are using, and what level you are currently working out of.) *

Parent's Name *

First

Last

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

I agree to receiving marketing and promotional materials

Submit