Clone of Online Piano Lesson Registration

Novato Piano School

Registration form for a $20 TRIAL piano lesson with Miss Melissa held at the Nativity of Christ Church located at 1110 Highland Drive, Novato, 94949. Program details available at www.novatopianoschool.com
Choose trial class
Date you'd like to come in?
Child's Name

First NameLast Name
Birth Date

MonthDayYear
2026/27 grade level
Name of school
Parent's Name

First NameLast Name
Email
example@example.com
Secondary Email
example@example.com
Phone Number

Area CodePhone Number
Other Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

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Postal / Zip Code
Any notes or comments?
Lessons are held TUESDAYS and THURSDAYS at Nativity of Christ Church.

Address: 1110 Highland Drive, Novato 94949

20 minute trial lessons cost $20, ongoing lessons $145 per month.

More details at www.novatopianoschool.com
After submitting this form, please read your confirmation email for payment submission and other information.
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Novato Piano School