Enrollment Form

Student/Parents Enrollment Details

Full Student Name:

Lessons He/She will attend:

Date of Birth:

Level Grade:

Payment Plan:

Any Special Needs/Conditions:

Parent Title:

Parent 1 Full Name:

Parent 2 Full Name (Optional):

Home Address:

Postal Code:

Home Number:

Parent 1 Mobile:

Parent 2 Mobile (Optional):

Email address

I agree to the Terms and Conditions.