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Lesson Registration
Lesson Registration
Fields marked with a * are required.
Students Name
*
Age (as of Sept 2017)
*
Grade
Parent Name's
*
Home Phone Number
*
Mum's Cell
Dad's Cell
Address
*
Email
*
Which instrument(s)
Piano
Voice
Guitar
Drums
Bass
Theory
Voice Ensemble
Prefered Lesson Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Time
1:00 – 3:00
3:00 – 5:00
5:00 - 7:00
7:00 – 9:00
Saturday
9:00 – 11:00
11:00 – 1:00
1:00 – 3:00
Previous Musical Experience
Do you have a Piano or Keyboard
(only applicable if taking Piano lessons)
Piano
Keyboard
Birthday
Comments
Fields marked with a * are required.
Students Name
*
Age (as of Sept 2017)
*
Grade
Parent Name's
*
Home Phone Number
*
Mum's Cell
Dad's Cell
Address
*
Email
*
Which instrument(s)
Piano
Voice
Guitar
Drums
Bass
Theory
Voice Ensemble
Prefered Lesson Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Preferred Time
1:00 – 3:00
3:00 – 5:00
5:00 - 7:00
7:00 – 9:00
Saturday
9:00 – 11:00
11:00 – 1:00
1:00 – 3:00
Previous Musical Experience
Do you have a Piano or Keyboard
(only applicable if taking Piano lessons)
Piano
Keyboard
Birthday
Comments