Adult Group Enrolment Form

Adult Group Enrolment Form

Amazing Grace (Adult Group Lessons for Ages 18+) one hour- RM280 ( 4 lessons)
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Experience and Goals
Email Address
example@example.com
Preferred Time Slot

23/5, 30/5, 13/6, 20/6 Friday 6pm-7pm8/6, 15/6, 22/6, 29/6 Sunday 4pm-5pm
Previous Music Experience

BeginnerIntermediateAdvanced
Goals for Music Lessons
Additional Comments or Special Requests
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Relationship to Student
Emergency Contact Phone Number
Please enter a valid phone number.
Terms and Conditions:

I, [Student/Parent/Guardian Name], hereby enroll in music lessons at The Harp Academy and agree to abide by the terms and conditions outlined by the school. I understand that payment is due in advance for lesson bookings and that any cancellations or rescheduling must be made with The Harp Academy according to their policies.

Group Lesson Policy:

Attendance: Group lessons are scheduled at fixed times. If a student is unable to attend a scheduled group lesson, no make-up lesson, credit, or refund will be provided.

Payment Terms:

Deposit: A non-refundable deposit of 50% of the total course fee is required to secure enrollment.
Balance: The remaining balance is due on the first day of class.
Student/Parent/Guardian Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Adult Group Enrolment Form

Experience and Goals

Emergency Contact Information