Music Lessons Registration

Music Lessons Registration

(complete all sections of the form)
Name*

First NameLast Name
Name

First NameLast Name
Name of Parent*

First NameLast Name
Address*

Street Address

Street Address Line 2

CantonState / Province

Post Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Choose Your Instrument*

PianoGuitarSaxophoneFluteRecorderClarinet
Choose Your Duration*

30 Minutes45 Minutes60 Minutes
Does your child play an instrument?*

YesNo
If yes, which instrument?
Choose Your Preferred Day*

Monday AfternoonMonday EveningWednesday AfternoonWednesday EveningThursday AfternoonThursday Evening
*Afternoons from 14:00 - 16:00 hours
*Evenings from 17:00 - 19:00 hours
Select your preferred option*

Lesson onlyLesson + Childcare onlyLesson + Club onlyLesson + Club + Childcare
Name of School*
Bus Collection Service Required?*

YesNo
If yes, please confirm time.
Terms & Conditions
There are no lessons during holiday camps or public holidays. Registrations and payments are made in advance of the term. Kindly note that there are no refunds or make-up classes for any missed lessons except where medical certificates can be provided . Thank you for your understanding and cooperation
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