Sign Up

* Indicates required field

Grade/Age of Student September 2021 *

Have you had Piano Lessons Before? *

For 2nd and 3rd Grade Beginner Piano Students: Which Lesson Times Work for You? *

For 4th Grade and Older and Experienced Piano Students: What Times Work for You? *

Tuesdays 3:30-4:30 PM Tuesdays 6:30-7:30 PM Wednesdays 6:30-7:30 PM

Do you Have a Piano or Keyboard at Home? *

Does your Child have any learning differences I should be aware of? (hearing, dyslexia, vision, ADD, etc...) *

How Can I Contact You?

Student's Name *

First

Last

Email *

Parent's Name *

First

Last

Phone Number *

Additional Comments or Questions *

How did you hear about Piano Discovery? *

Submit