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Enrolment Form

Student Name
Age of Student / Adult
Name of Parent or Guardian
Mobile Number
Home / Landline Number
Email Address
Tuition Required
Level of experience
Do you have any grades on the piano?
Do you have any grades on other instruments?
Do you still play any other instruments?
Do you have a piano or a keyboard?
Friday lesson time preferred?
Saturday lesson time preferred?
Have you seen our 24 hour cancellation policy? (See terms & conditions)
Are you aware that we allow six cancellations per year? (See terms & conditions)
Do you have any special needs requirements for sight, sound, mobility, reading or behavioural problems?
If yes to special requirements, please give details... Please write NONE if not required
Current month of enquiry
I would like my child to be enrolled in classes and I am happy to be contacted by the music school once a month via text message for payment reminders.
Please tick here if you are in agreement with this, Thankyou.
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