School of Music – Expression Music Concert Foundation

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Registration Form

Student Information

Name *

Phone no *

Email Address *

Date of Birth *

Month *

Day *

Year *

Age *

Gender *MaleFemaleOthers

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Instruments you wish to study

Current Level *BeginnerIntermediateAdvanced

Have you taken any music examinations? *YesNo

If yes, please provide details:

Do you play in any ensembles or orchestras? *YesNo

Do you prefer private or group lessons? *Private LessonGroup Lesson

Group lessons are held at Adswood Community Centre 4, 231 Garners Ln, Stockport SK3 8QJ. and 2 Lloyd Street, Stockport SK4 1QP. Kindly can continue with the form, or select Private Lessons

What's your preferred address?

Do you prefer online or offline lessons *OnlineOffline

Do you prefer online or offline lessons *Online

This cost is billed per session/contact

How long would you like your online lessons to be? *30 minutes45 minutes1 hour

Do you want to pay monthly or per term (12 weeks)? *MonthlyTerm (12 weeks)

Parent/Guardian Name *

Parent/Guardian Email Address *

Phone no

Relationship to Student *

Inspiring with music

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