Enrolment Form

Parent/ Guardians Full Name:

Primary Phone

Alternate Phone

Email address to where the correspondence is best

How did you hear about us?

Students Full Name

Date of birth

Address

Street Address City State / Province / Region ZIP / Postal Code

Lesson to Enroll In

AMEB Number

Which School do they attend:

(If applicable)

what year are they in

Has your child studied music before? If Yes, Where and please provide the teacher name:

Do you want them to do exams later on?

What other activities do you they do?

What is the reason they want to do the instrument they have chosen?

Enrollment Fee

Price:

Enrollment and Administration Fee

Total

Coupon

Credit Card