Enrollment Form for Music School



Parent/Guardian Information

First Name
Last Name

Gender
Date of Birth

Home Phone
Work Phone

Mobile Phone
Email

Employer
Occupation

Address Line 1
Address Line 2

City/Town
State/Province
Postal/Zip Code


Student Information

First student information

First Name
Last Name

Gender
Date of Birth

School Name
Grade

Enrollment Type
Private Lesson
Group Lesson
Select Instrument

Duration
Preferred Day of the Week

Preferred Time
Start Date

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Payment Information

Payment for Private Lessons

Please select the appropiate boxes.
 


Payment for Group Lessons

Please select the appropiate boxes.
 

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