Music School Application Form
Name of Applying Student (if more than 1, please complete additional forms):
*
First Name
Last Name
Name of Parent/Guardian (if student is under 18 yrs)
First Name
Last Name
Student Date of Birth
-
Month
-
Day
Year
DOB
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Instrument To Be Learned:
*
Please Select
Piano
Violin
Cello
Music Theory (included in instrumental lessons)
Desired Lesson Length (please note, this cannot be guaranteed)
*
Please Select
15 mins
30 mins
45 mins
60 mins
Desired Lesson Frequency
*
Please Select
Weekly
Fortnightly
Monthly
At Random
Please Select Your Current Musical Level:
*
Please Select
Complete Beginner (Elementary Books)
Late Beginner (Preliminary)
Intermediate (Grades 1 - 4)
Advanced (Grades 5 - 8)
Professional (Diploma)
What are your musical ambitions?
*
Signature
*
Continue
Continue
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