Private Piano at The Music Clubhouse

1
Private Piano Study Participant's Name* This field is required.
First Name
Last Name
2
Name of Child's Parent/GuardianIf the participant is a minor.
First Name
Last Name
3
Your Email Address* This field is required.
example@example.com
4
Acknowledgement of policies and tuition* This field is required.
I, the participating child's parent/caregiver/guardian, have read and accept the 2022-2023 Private Piano policies and tuition information and agree to honor the policy as stated.
5
Please enter your payment amount.Thank you for supporting the private piano study at The Music Clubhouse!
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Please enter amount to pay only, with no $ sign needed.
USD
+ OR enter a custom value
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