Music School Registration Form

Registration Form
Please tell us about yourself:
Parent's Name (for children under age of 19)*

First NameLast Name
How many members of your family are planning to take lessons?*
Student's Name*

First NameLast Name
Student Birthday

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

CityState / Province

Postal / Zip Code
2nd Student's Name*

First NameLast Name
Student #2 Birthday

MonthDayYear
Date
3rd Student's Name*

First NameLast Name
Student #3 Birthday

MonthDayYear
Date
What type of classes are you looking for?*
Please choose from the music classes we offer

Orff & Kodaly for ages 1 to 7 years oldPiano/KeyboardsViolin/Viola/CelloClarinet/Flute/Recorder/SaxophoneVoice/Vocal CouchingDrumsGuitar/Bass/Banjo/Mandolin/Ukulele
Please choose from the theater/film programs we offer:*
Please choose from the art classes we offer:*
Please tell us more about the student (adult or child

I am beginnerI am Interested in group lessonsI played music instrument beforeI am looking for RCM curriculumI am looking for fun/easy classesI am looking for private classesOther
Comments
Rules and Polices

By signing below, I acknowledge and agree to the Terms and Conditions of Ava Music & Art Centre Ltd.
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