Piano Storytellers: Waitlist for Spring 2023
Please select the class you would like to be placed on the waitlist for:
*
Level A: Wednesday 3:20-4:00
Level A: Thursday 4:10-4:50
Level B: Monday 4:10-4:50
Level B: Thursday 3:20-4:00
Level C: Monday 3:20-4:00
Level C: Tuesday 4:10-4:50
Level D: Tuesday 3:20-4:00
Level D: Wednesday 4:10-4:50
Child's Name
*
First Name
Last Name
Child's Gender
*
Child's Birth Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Child's Birth Year
*
Child's Current Age
*
Child's Grade (as of Spring 2023)
*
Parent/Guardian Name
*
First Name
Last Name
Relationship to Child
*
Mother
Father
Grandmother
Grandfather
Other
Parent/Guardian Email Address
*
Confirmation Email
Parent/Guardian Phone #
*
-
Area Code
Phone Number
Would you like to subscribe to the Mailing List to receive information regarding registration dates, classes, events, news, etc? (If you are not sure you are subscribed but wish to be, please select yes.)
Yes
No
I am currently subscribed
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