Piano Group Class Registration Form

This Registration Form is for Piano Group Class, Ages 9 -11 & in School Grades 4 - 5.

Student Name *
Student Name
Parent/Guardian Name *
Parent/Guardian Name
Phone *
Address *
Please provide a full name and contact
If your child has no prior musical experiences, please answer "n/a"
Do you have a piano or a keyboard? *
NOTE: Publicity photographs will be taken during the group class. *