Clone of Academy of the City 3:30pm

THANK YOU FOR YOUR INTEREST IN OUR PIANO CLUB! IF YOUR GROUP IS CURRENTLY FULL, PLEASE COMPLETE THE FORM BELOW TO JOIN OUR WAITLIST.

PLEASE SELECT YOUR SCHOOL: (please call us if you don`t see your school on the list)

Student`s name ONLY ONE STUDENT PER FORM, DO NOT COMBINE MULTIPLE CHILDREN // Nombre del astudiante

First Name // primer nombreLast Name //apellido

Grade (ONLY NUMERALS OR KG) // Grado

Parent`s name // nombre del padre, madre

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Alternative Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email. PLEASE FILL OUT CAREFULLY

example@example.com