This form is for Fall 2025 class registrations. When you click “Submit” you will be redirected to the payments page. Thanks! Please enable JavaScript in your browser to complete this form.Your Name *FirstLastStudent's Name *FirstLastEmail *Phone Number *Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeStudent's Age *Student's Date of BirthRegistering For: *Kids Beginning Piano – Wednesdays 6:45pm (ages 5-8)Adults Beginning Piano – Wednesday 7:30pmPrivate Lessons – PianoPrivate Lessons – GuitarPhoneSubmit & Continue to Payment
