Lesson Registration
Please fill out the form below for each family.
Parent/Adult Student Name
*
First Name
Last Name
Student Name (other than adult students)
Name
Student Name (other than adult students)
Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
In-Person Lessons, or Online Lessons?
*
Online Lessons
In-Person - Latrobe
In-Person - Pittsburgh
Choice of Instrument
*
Please Select
Piano
Organ
Voice
Music Theory
Comments or Special Requests
Tuition Option
*
Pay as you go - 30-minute lessons - $27/each
Pay as you go - 45-minute lessons - $37/each
Pay as you go - 60-minute lessons - $47/each
Submit
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