Pfafftown Piano Public Registration
Please fill out this form if you are new to Pfafftown Piano and wish to secure a time slot in the 2019-2020 school year. Adults, students of all ages, homeschoolers and preschoolers are welcome!

Returning students have priority for 2019-2020. 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.

Student Name *
Your answer
Student Age *
Your answer
Student Grade in 2019-2020 if Applicable *
Your answer
Student Birthdate
MM
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DD
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YYYY
Student's Music Experience (none required)
Your answer
Name of Parent(s) if Applicable
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Can Pfafftown Piano text this phone number? *
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. *
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