Lesson Booking Form Swan Music Academy
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal code
Phone Number
*
E-mail
example@example.com
Which instrument or class do you want to register:
ex. Piano, Guitar, Vocal or Theory
Please select the session time that you will be attending
*
Please Select
Monday Morning 09:00-10:00
Tuesday Morning 11:00-12:00
Wednesday Morning 08:00-09:00
Friday Morning 11:00-12:00
Monday Afternoon 14:00:-15:00
Monday Afternoon 15:00- 16:00
Tuesday Afternoon 15:00-16:00
Tuesday Afternoon 16:00-17:00
Wednesday Afternoon 15:00-16:00
Wednesday Afternoon 16:00-17:00
Thursday Afternoon 15:30-16:30
Thursday Afternoon 16:30-17:30
Friday Afternoon 12:00-13:00
Friday Afternoon 13:00-14:00
Friday Afternoon 16:00-17:00
Friday Afternoon 17:00-18:00
Please request a different time if you do not find a time slot that suits you.
Will you be willing to recommend us?
Yes
No
Maybe
Music Session
Please give reference of any two people whom you feel:
Full Name
Address
Contact Number
1
2
Select your level and number of classes you are booking.
prev
next
( X )
Beginner Class
The student has never had any lessons before and has no prior knowledge of the instrument or subject he is enrolling.
200.00
ZAR
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
0.00
ZAR
Intermediate Class
The student has been playing and attending lessons for more than 3 years and or has completed a grade level 3 certificate.
325.00
ZAR
Quantity
1
2
3
4
5
6
7
8
9
10
Advanced Class
The student has attended lessons in his or her instrument for more than 6 years and or has completed a grade level 6 certificate or equivalent.
475.00
ZAR
Quantity
1
2
3
4
5
6
7
8
9
10
Submit
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