Register For Private Piano Lessons | Master Music Institute

Master Music Institute Registration

We look forward to working with you

Please fill out the following form to register for music lessons with Master Music Institute.

Student's Name *

Date of Birth *

Gender *

Male

Female

Contact Email Address *

Parent's Name (If applicable)

Physical Address

Student Type *

Child

Teenager

Adult

Student Grade (If applicable)

What lesson are you interested in? *

Will you be taking the lesson in person or online? *

Lesson Length *

Preferred Teacher

Do you need class materials? These can be provided at a cost of $30.00 *

Yes

Please list out any prior experience.

Any special needs we should be aware of?

Sorry, we were not able to submit the form. Please review the errors and try again.