WSPA Music Student Registration Form🎶
Register to join our music program and showcase your talent.
Student Full Name
*
First Name
Last Name
Pricing for Piano
WSPA Pricing for a month is $190 for either 4 or 5 lessons that month. Cancelled lessons before 10 am day of are excused and no charge. Notification by families after 10am lessons are charged. Lessons cancelled by WSPA may be made up or WSPA will adjust the monthly charge and not charge for the missed lesson. Please call the office on Tuesday, Thursday and Friday to give us your card information.
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Name on Card ( Please call us with your card information 206-935-3777)
*
First Name
Last Name
Instrument(s) Interested In
*
Piano
Guitar
Drums
Other
Previous Music Experience (if any)
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Register
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