Registration Form

Please complete the following form to begin the registration process:

If you see this don't fill out this input box.

* Child Name

* Parent/Guardian Name

* Parent/Guardian Phone Number

* Parent/Guardian Email

* Are you an employee of WKU?

Yes

If yes, please provide your 800# below.

* Child's Age

* Is your child a beginning piano student?

Yes

If no, please describe previous experience.

* Please select which program you are interested in.

PLP 1 (new beginners, ages 6-8)

PLP 2 (continuing beginners, who have completed PLP 1)

PLP Private Lesson Package (ages 5+)

How did you hear about this program?

What are your expectations for this program?

The WKU PLP offers financial assistance for students in need. If you would like to help in our efforts to continue providing that support, please consider donating to the program. If you need a tax-deductible donation receipt, please email jessica.welsh@wku.edu .

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Western Kentucky University is a fully accredited member of the National Association of Schools of Music since 1948.

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