Student Name *

Nombre

Apellidos

Music lessons required *

Tick all that apply

Piano

Drum

Guitar

Vocal

Ukulele

What are your preferred days of the week for lessons? *

Tick all that apply

Monday

Tuesday

Wednesday

Thursday

Friday

What is your preferred time of day for lessons?

Tick all that apply

Morning 08:00-12:00

Afternoon 12:00-16:00

Evening 16:00-20:00

How many lessons would you like to purchase? *

**IMPORTANT** For adults a minimum of 2 lessons must be purchased to prevent last minute cancellations. If you cancel a lesson with less than 24 hours notice, the 2nd lesson is forfeited. For child students, lessons are purchased in a minimum of 6, reflecting an average school term. Once lessons are paid for they are non-refundable. Full T&Cs will be sent to you following the submission of this form.

2

4

6*

8

10