enroll (unused) · The Conservatory of Piano®

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enrollment

are you enrolling an adult or child? are you enrolling an adult or child? adult child

student name*

student DOB*

student grade*

school name*

parent name*

contact number*

email

street address*

city*

state*

zip code*

which location? which location? worthington new albany/gahanna

private lessons or sampler? private lessons or sampler? sampler (six weeks) private lessons (ongoing)

any previous lessons? any previous lessons? no yes

how many years?

tell us about your experience

i have a: i have a: piano keyboard nothing

classes are scheduled based on your availability! please select your best days and enter a range of times for each of those days. classes are scheduled based on your availability! please select your best days and enter a range of times for each of those days. monday tuesday wednesday thursday friday saturday (available in worthington only)