SHINE Student Registration Form

STUDENT REGISTRATION FORM

Please fill out the information below to and start your musical journey with Shine.

B.H.S. students are exepmt from paying the Registration Fee!

B.H.S. students qualify for a 5% discount on all courses!
Student Name*
Student Type*

AdultChild
Student Birthday

DayMonthYear
Parent / Guardian*
Email Address*
Phone Number*

Country CodePhone Number
Instrument or subject*
If you would like more than one, please choose one from the list and leave us a note below.
Course*
*Recurring debit order or credit card prices. Other forms of payment have a +6 EUR supplement.
Lessons Type*

In-PersonOnline
Availability*
Please list a number of options if possible so that we may match you with the perfect teacher for you.
Preferred Musical Style
Pop / Rock / Folk / Classical / Jazz / Blues / Flamenco / Bossa Nova / Tango / Funk / Metal / Punk / Soul / Country / Latin / Manouche / Children's Music etc.
Additional comments & requests...
Billing Information
Name:*
Address*

Street Address

Street Address Line 2

CityProvince / State

Postal CodeCountry
Date of Execution*

DayMonthYear
ID / Passport Number*
ID number, DNI, NIE or Passport
Should be Empty:

Billing Information