Music School Registration Form

1
First Name *     Last Name *
If there is more than one student
First Name     Last Name
First Name     Last Name
First Name     Last Name
2
Parents Name
First Name
Last Name
3
Phone Number* This field is required.
4
Choice of Instrument* This field is required.
Please Select
Piano
Vocal
Guitar
Drums
Bass guitar
Flute
Percussion
5
Choose a package* This field is required.
600 QAR / Monthly (4 sessions, Once a week) 30 minutes Duration
1200 QAR / Monthly (8 sessions, Twice a week) 30 minutes Duration
900 QAR / Monthly (4 sessions, Once a week) 45 minutes Duration
1800 QAR / Monthly (8 sessions, Twice a week) 45 minutes Duration
6
Start Date* This field is required.
Date
Day
Month
Year
7
Comments
8
Terms and Conditions* This field is required.
9
Signature
Clear
Should be Empty: