Lesson Booking Form Swan Music Academy

Lesson Booking Form Swan Music Academy
Customer Details:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityProvince

Postal code
Phone Number
Format: (000) 000-0000.
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 request a different time if you do not find a time slot that suits you.
Will you be willing to recommend us?
Music Session

Please give reference of any two people whom you feel:

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
Item subtotal:

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

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

Enter coupon

Total