BEST Piano Club Registration Form
*Notice. We respect your privacy and keep your information private.
Child's Name
*
Age
*
Parent(s) Name(s)
*
Address
*
Postal Code
*
Area of Town
*
(i.e., Barrhaven, Riverside, etc.)
Phone Number
*
Email
*
Does anyone in your house take piano lessons?
*
Yes
No
If no, are you or your child planning to start piano lessons?
*
Yes
No
Do you own a piano?
*
Yes
No
If yes, what make is your piano
I understand someone will contact me to tell me about more exciting events, including free concerts
I understand someone will contact me to tell me about more exciting events, including free concerts
*
Send me a copy of my responses
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