Music Class Registration

Register here for Guitar or Piano Classes

* Indicates required field

Name of Student *

First

Last

Date of Birth *

Name of Parent/Guardian *

First

Last

Email *

Phone Number *

Cell Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

5:00 - 5:45 P.M. *

Piano Class I Grades 3-5

5:45 - 6:30 P.M. *

Piano 2 (beginning 6th grade to adults) Piano 3 (intermediate 6th grade to adults)

6:00 - 7:00 P.M. *

Guitar Class 1 (6th grade to adults) Guitar Class 2 (intermediate 6th grade to adults)

Photos Permitted *

Yes No

Have you had any previous music lessons? *

Yes No

Which Instrument? *

Comment *

Submit