MPS Registration of Interest Form

Registration of Interest

Want to enquire about music lessons at MPS Campsie? The information you provide here will be used by us to assist with your enrolment.
General Details
Which course are you interested in?*

Piano lessons (private)Violin lessons (private)Guitar lessons (private)Course: Intro to Guitar (group)Music Theory (group)Course: Piano Class for Adult Beginners (group)
Private lessons are one-on-one sessions scheduled weekly with a regular teacher. Available for Piano, Violin, Guitar.
Intro to Guitar is a guitar group for beginners. Learn with a bunch of friends or meet new people. Recommended for ages 7 and up. Must bring your own 6-string acoustic guitar. Max. 4 students per course. 8 week course. Currently unavailable.
Learn how to write music. Theory of Music covers the fundamentals of rhythm, music history, and composition in a friendly and engaging group environment. Knowledge of theory and/or musicianship is required for higher grade AMEB certificates and diplomas. 1 hr fortnightly.
Is this student currently enrolled at MPS Campsie?
Current AMEB Grade?

Details of Student

Tell us about the person who will be taking lessons.
Who is enrolling for lessons at MPS?*

YourselfAnother person (eg. child)
Name*

Student's First NameStudent's Last Name
Birth Date*

DayMonthYear
Age
Parent/Guardian name

Contact First NameContact Last Name
Email*
Please enter a valid email address to receive important communications from MPS
Mobile/phone number*
Please enter a valid phone number
Have you had music lessons before? Where? If not, what got you interested now?*
What do you want to achieve with lessons at MPS?*
e.g. To do graded AMEB exams; learn a particular song; improve technical skills; become a confident stage performer; etc.
Preferred day(s) and time(s) for weekly lessons?*
Private lesson times are subject to teacher availability.
How did you hear about MPS Campsie?*

Brochure, flyer, business card or other Print advertisementOur social media - Facebook, Google, YouTube, etc.Our website - MichellesPianoStudio.com.auServices directory - ActiveActivitiesSaw us from the streetWord of mouthOther
Today's date*

DayMonthYear
Are you human?*
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Registration of Interest