Please use this form to sign ONE student up for PianoPlus (if you have multiple students to enroll, please fill out the form multiple times).

PianoPlus is free and will be held on the following dates: October 14, January 13, March 10, and May 19.

Name of Student
Your answer
Age of Student
Your answer
Please list a few pieces the student is currently working on
Your answer
Piano teacher
Which section of PianoPlus are you signing this student up for?
Parent Name
Your answer
Parent phone number
Your answer
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