Pfafftown Piano Public Registration

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Please fill out this form if you are new to Pfafftown Piano. Adults, students of all ages, homeschoolers and preschoolers are welcome!

Returning students have priority. New students will be accepted in the order of registration timestamp, if there is space in the studio. If there is not space in the studio, you can be placed on a waitlist or given the option of asynchronous lessons.

Student Name *

Student Age *

Student Grade in 2022-2023 if Applicable

Is student homeschooled? *

Yes

Not Applicable

Student Birthdate

YYYY

Student's Music Experience (none required)

Name of Parent(s) if Applicable

Email Address *

Full Home Address *

Phone Number *

Can Pfafftown Piano text this phone number? *

Yes

I am interested in: *

Starting asynchronous lessons immediately

Consider Piano, an Online Course for Beginners (prerecorded by Amy)

Need more information to make a decision

Required

Pfafftown Piano occasionally posts video/photos to its Facebook Page promoting business and celebrating student success. My child (under age 18) may be photographed/recorded in the studio or at Pfafftown Piano events. Students' last names are never publicized online or in publications outside of private PP events. *

Agree to the terms

Please do not photograph or record my child

Required

Submit

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