EAT-Center form

Registration For Music Lessons, Virtual Sessions & Learn Piano Worship & Seminars

Participant Registration Form
Name:*

First NameLast Name
Student Name:*

First NameLast Name
E-mail*
Specify which area you interested in?*

Waiting List Learn Piano WorshipOne On One Sessions/LessonsNumber System Open HouseVoiceOrganDrumsRecording Production TrainingSongwriting/Music BusinessOther
Phone Number*
Age of student:
Church Affiliation:
Select best day and time that best fit your schedule: For lessons only

Monday 1pm-5pmMonday 5pm-9pmTuesday 1pm-5pmTuesday 5pm-9pmThursday 1pm-5pmThursday 5pm-9pmFriday 1pm-5pmFriday 5pm-9pmSaturdaysOther
City & State*
Write about your experience even if it's none and most importantly what you wish to learn*
Who and how did you hear about us?*
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Registration For Music Lessons, Virtual Sessions & Learn Piano Worship & Seminars