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
Lesson Time: Please select all that work for you. Please note location.
*
Tuesday Afternoon (Latrobe or online)
Tuesday Evening (Latrobe or online)
Wednesday Morning (Latrobe or online)
Wednesday Afternoon (Pittsburgh or online)
Wednesday Evening (Pittsburgh or online)
Thursday Afternoon (Latrobe or online)
Thursday Evening(Latrobe or online)
Saturday Morning (Latrobe or online)
Saturday Afternoon (Latrobe or online)
Saturday Evening (Latrobe or online)
Sunday Afternoon (Greensburg - Organ only)
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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