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2022-23 Private Piano Lessons
Chris Brush
2023-05-01T08:16:34-04:00
Click here to review the Piano Registration Packet
REGISTRATION FORM
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Student Name
*
First
Last
Grade Entering
*
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Previous Years of Instruction
*
Parent/Guardian Name
*
First
Last
Does this student attend Aftercare?
*
Yes
No
Does this student arrive at school before 8am?
*
Yes
No
Do you prefer lessons after school if available?
*
Yes
No
Does this student have a piano and metronome at home?
*
Yes
No
Previous Keswick Piano Teacher (Returning Students)
Registration Fee
*
Price:
$ 100.00
Stripe Credit Card
*
Card
Name on Card
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