Piano Registration

Greater Washington Dance Center

Piano and Voice Lessons at GWDC!

Piano lessons are given in 20 minute ($20), 30 minute ($30) and 60 minute ($60) increments.

* Indicates required field

Student's Name *

First

Last

Student's Birthdate *

Select One *

Parent's Name *

Email *

Cell Phone *

Address *

City *

State *

Zip *

Choose the day(s) of the week you are interested in. *

Monday Tuesday Wednesday Thursday Friday Saturday

Choose the time frame you are interested in. *

9AM-12PM 12PM-3PM 3PM-5PM 5PM-7PM

How did you hear about us? *

Name on Credit Card *

Credit Card Number *

Expiration Date *

CVV Number *

Additional Notes *

Submit

12320 Pinecrest Road, Suite 100, Reston, VA 20191 . glv@gwdancecenter.com