Ekhator School of Music
Application Form
Parent Name
First Name
Last Name
Student Name
First Name
Last Name
I am a
Please Select
New Student
Returning Student
Parent Applying for New Student
Parent applying for Returning Student
Student’s Date of Birth
*
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
N/A
Does the student have a sibling who currently attends Ekhator School of Music?
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent's Email
example@example.com
Mobile Number
Alternate Number
Please select the music program you/your child is interested in:
Classical Piano
Contemporary Keyboard
Saxophone
Current School
Current Grade
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Adult
Home Church
Submit Application
Should be Empty: