MUSIC LOUNGE AUSTRALIA / Student Registration
Online Class
Welcome to Music Lounge Australia. Please complete this registration form to enrol the student in our online music program. All lessons are conducted online via Zoom.
Student Full Name
*
First Name
Last Name
Instrument / Program
*
Keyboard
Classical Piano
Drums
Guitar
Violin
Current Skill Level
*
Complete Beginner
Beginner
Intermediate
Parent / Guardian Full Name
*
First Name
Last Name
State / Territory
*
Please Select
Alabama
Alaska
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District of Columbia
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Georgia
Hawaii
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postcode
*
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Mobile Number
*
-
Area Code
Phone Number
Secondary Contact Number (in case the primary number is unavailable)”
-
Area Code
Phone Number
Date of Birth
*
Please select a day
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Please select a month
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2026
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Year
I have read and agree to the Terms & Conditions.
*
I have read and agree to the Terms & Conditions.
Preferred Payment Method
*
Bank Transfer
PayID
Online Payment
PayID PayID: 0403897660 Account: J GEORGE & J GEORGE Use the student's name as the payment reference.
Online Payment Please use the existing Square payment link already available in the form for online payments.
Online Lesson Requirements
*
Instrument available during lessons
Laptop or tablet with camera and microphone
Zoom installed and ready
Stable internet connection
Suitable well-lit learning area
Camera positioned so the instructor can clearly see the student and instrument
Detailed Zoom setup instructions will be provided separately.
Do you consent to have your child’s photo or video taken and used for marketing and promotional purposes, including on our website, social media, and printed materials.
*
Yes, I consent
No, I do not consent
Bank Transfer Bank: NAB Account Name: Music Lounge Australia BSB: 086006 Account Number: 764006461 Use the student's name as the payment reference.
My Products
*
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Acoustic Guitar
$140.00 AUD
$
140.00
AUD
Electric Guitar
$200.00 AUD
$
200.00
AUD
Bass Guitar
$200.00 AUD
$
200.00
AUD
Classical Piano
$160.00 AUD
$
160.00
AUD
Drums
$140.00 AUD
$
140.00
AUD
Keyboard
$140.00 AUD
$
140.00
AUD
Vocal
$200.00 AUD
$
200.00
AUD
By submitting this form, you acknowledge and agree to the terms and conditions outlined in this document.
TERMS AND CONDITIONS
1: ENROLMENT AND REGISTRATION: Student must be at least 6 years of age. No prior musical experience is required and must have own insturment, Laptop or Tablet and internet connection. Once the registration form is received and processed, students will be notified of their enrolment status.
2: FEES AND PAYMENT: Tution fees must be paid in full on or before the 5th of each month. A late fee of $10 will be incured if tuition is not received within 10 working days of the first class for the month .
3: REFUNDS: We do not offer refunds for missed classes. However, any missed classes can be rescheduled and added to the following month’s schedule as a make-up session.
4: ABSENTEEISM : We understand that life happens! However, if you're unable to attend a session, please inform us in advance. Absences without prior notice will be marked as Absent/No Show. We allow up to 3 rescheduled classes per month, so you have some flexibility if something unexpected comes up. If you’re feeling unwell, please let us know in advance, to reschedule your missed classes. Planning a vacation? No problem! Just fill out a Freeze Class Form to secure your spot and ensure any missed classes can be compensated. You can reschedule classes up to 4 times per year.
5: TERMINATION AND DISMISAL: Students may be dismissed from the program for reasons including, but not limited to, repeated unexcused absences, non-payment of tuition fees, or misconduct that disrupts the class environment. Dismissal decisions are made at the school’s discretion to ensure a positive and constructive learning experience for all participants.
6: RESCHEDULING OF SESSIONS: Rescheduled sessions will be added on top of your regular lesson schedule, so you won’t miss out. We’ll do our best to accommodate your preferred times for make-up sessions, but please note that availability will depend on open slots. If we don’t receive prior notice for an absence, that session cannot be rescheduled.
7: SCHEDULE LOCK: If your holiday is less than one month, we’ll keep your regular schedule on hold. For breaks longer than one month, we’ll set a new schedule based on availability when you return.
8: PUBLIC HOLIDAYS: If a class falls on a public holiday, it will be rescheduled to a mutually agreed later day and time.
9: ADMISSION OF STUDENTS WITH SPECIAL NEEDS OR MEDICAL CONDITIONS: While we aim to be as inclusive as possible, we currently aren’t licensed to provide specialised training for students with special needs, and our instructors aren’t certified to handle such cases.
10: AGREEMENT: By signing below, i acknowledge that i have read, understood, and agree to the terms and conditions outlined in this document.
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MUSIC LOUNGE AUSTRALIA PTY LTD
ABN: 357 2966 0192
TEL: 0403897660 | EMAIL:
ADMIN@MUSICLOUNGE.AU
| WWW.MUSICLOUNGE.AU
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