Enrolment Form 2025

Enrolment Form

Once you've submitted your info, I'll get back to you asap to confirm your day & time.
Student's Details:*

First NameLast NameAge (if under 18)
Parent/Guardian's Name (if student is under 18yrs):*

First NameLast Name
Email: (for billing & news)*
Please check your junkmail folder for our response!
Phone Number:*
eg 0400-123-456
Billing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I'd like to learn...*

GuitarDrumsBassDouble BassUkulele
I'd like to have...*

Ongoing Private LessonsOngoing Group LessonsCasual LessonsA Trial lesson
I'd like to learn on either of these days...(choose two)*

MondayTuesdayWednesdayThursday
My first time preference would be...*
My second time preference would be...*
What best describes your experience level...*
Any notes or questions for me? Allergies, special needs, billing queries etc
I have read, understand and agree with Horsham Music Tuition's Terms & Conditions.
Should be Empty: