Application to Learn a Musical Instrument

Student's Full Name *

Student's Year Level *

Parent/Guardian Name *

Parent Contact Telephone number *

Parent Email Contact *

Please tick which instrument your child wants to learn *

I would like to purchase a group of eight instrumental lessons *

8 Individual lessons: $304.00

8 Group Lessons: $200.00

I understand that by signing this form, my contact details will be forwarded to the relevant Instrumental Music Teacher who will contact me regarding lessons for my child.

I understand that payment of associated costs is to be made directly to the Instrumental Teacher.

Parent Signature: Please type your name below *