Onsite Enrollment Form

Home Service Enrollment Form

Fill out the form carefully for registration.
Student Name:*

First NameMiddle NameLast Name
Age:*
Gender:*
Birth Date:*

MonthDayYear
E-mail Student/Guardian:*
example@example.com
Address:*
Guardian's Name:*

First NameLast Name
Relationship:*
Mobile Number:*
Program:*

MusicArts
Instruments: (one package per instrument)*

VoicePianoGuitarViolinUkuleleDrumsClarinetSaxophoneFlute
Arts: (one package per art lesson)*

Creative DrawingSketchingAcrylic PaintingWatercolor PaintingManga DrawingSculpture
Arts Classes Kit:*

Creative or Manga Drawing ₱1,500Sketching ₱1,000Acrylic or Watercolor Painting ₱3,000No, we'll have our own art materials
Level:*

Starter: No experience yet.Beginner: Has a little background.Intermediate: Can play simple melodies and songs.Advance: Can read notes and play musical pieces using sight-read.
MATERIALS FOR ARTS:

✅Creative Drawing or Manga Drawing
1. 9" x 12" sketch pad
2. Pencil (HB, 2B, 6B, 8B)
3. Eraser
4. Colored Pencils or Marker or ANY Coloring Materials

✅Sketching:
1. 9 x 12 sketch pad
2. Pencil (HB, 2B, 6B, 8B)
3. Eraser

✅Acrylic Painting & Watercolor Painting:

1. HB Pencil
2.1 Acrylic paint set (only for Acrylic Class)

2.2 Watercolor (only for Watercolor Class)
3. Bristle brushes (round, flat and fine #12,8,6,4,2,1,0)
4. Mixing palette or mixing board
5. 9 x 12 Canvas or 18 x 24 Canvas or 9 x 12 Watercolor Paper or 12x18 Watercolor Paper
6. Rags
7. Bucket for water

*Other materials are subject to teacher’s recommendations
Preferred Day Schedule (List All Availability)*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Preferred Time Schedule (All Availability)*

8:00-9:00am9:00-10:00am10:00-11:00am11:00-12:00pm1:00-2:00pm2:00-3:00pm3:00-4:00pm4:00-5:00pm5:00-6:00pm6:00-7:00pm7:00-8:00pm
Lesson Packages:*
prevnext( X )
12 LessonsMinimum Package: 1-hour/lesson
17,000.00PHP Quantity



24 Lessons1-hour/lesson
27,000.00PHP Quantity



48 LessonsYEARLY: 1-hour/lesson
42,000.00PHP Quantity



96 LessonsYEARLY: 1-hour/lesson
72,000.00PHP



Total

0.00PHP
Payment Method:*

BPI: 3649 2194 13 Mary Joy SevillaMetrobank: 282328 2964610 Mary Joy SevillaUnionbank: 1094 2638 3672 Pontem PHCash / Credit Card: Pay at the Office: Mezzanine Unit M03, Lanzilia Bldg. #4-A J. P. Rizal Extension, National Rd., Brgy. West Rembo, Taguig City.GCash: 0917 3090 155 Mary Joy SevillaGCash 09109639182 Ma. Teresa Sevilla
Image Upload: Receipt of Enrollment Fee *

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How did you know about us?*

Online search (Google, Bing, etc.)Social media ads (Facebook, Instagram, etc.)Referral from another student
Referred By: *
TERMS & CONDITIONS:

1. Client agrees that cancelled classes must have a make-up which may be scheduled on a different day and time from the regular schedule.

2. Preferred schedule is subject for confirmation with the Coach. We don't guarantee your preferred schedule is open. First come, first serve policy.

3. Non-appearance in class without notice atleast a day before the schedule will be forfeited.
MONEY BACK GUARANTEE:

1. The student attended with no missed classes his/her regular schedule of once, twice or thrice a week for the lessons.

2. The student finished the 12 sessions enrolled.

3. If the student cannot sing or play a simple melody or has not learned to sight read simple (CDEFG) from the 12 or 24 sessions enrolled.

Please note: Your own instrument is needed for lessons. Voice lessons require keyboard or piano.
MONEY BACK GUARANTEE:

1. The student attended with no missed classes his/her regular schedule of once, twice or thrice a week for the lessons.

2. The student finished the 12 sessions enrolled.

3. If the student cannot draw or paint any simple artwork on his own or/and has not improved his skills in drawing or painting using a variety of simple shapes and coloring.
Confirmed transactions will not be refunded. Please make sure the details above are correct.*

I confirm that the details are correct.
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Home Service Enrollment Form