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REGISTRATION FORM


     


LEE ELLIE MUSIC SCHOOL

PERSONAL DATA

NAME (SURNAME FIRST):__________________________________________________

AGE: ____________________________________________________________________

OCCUPATION: ____________________________________________________________

PHONE NUMBER: ____________________  E-MAIL: _____________________________

HOME ADDRESS: _________________________________________________________


COURSE/ TRAINING DATA

INSTRUMENT(S) OR COURSE OF INTEREST? ___________________________________________

EXPERIENCE:     BEGINNER (  )         INTERMEDIATE (  )        ADVANCED (  )

HAVE YOU TAKEN MUSIC LESSONS BEFORE? YES (  ) NO (  ) 

DO YOU HAVE A KNOWLEDGE OF MUSIC THEORY? YES (  ) NO (  ) 

PATH OF PREFERENCE? CLASSICAL (  ) CONTEMPORARY (  )

CAN YOU SIGHTSING MUSIC/ SIGHTPLAY MUSIC? YES (  ) NO (  ) 

WOULD YOU LIKE TO TAKE HOME (  ) OR CLASS (  ) LESSONS? 


FEES PAID? YES (  ) NO (  )


DECLARATION

I hereby declare that the information I have given about me are true, to the best of my knowledge.   

DATE OF REGISTRATION: ____________         SIGNATURE: ________________


FORM: N1000 ONLY. MONTHLY PAYMENTS SHOULD BE PAID INTO THE SCHOOL'S ACCOUNT BEFORE TEACHING COMMENCES. CASH SHOULD NOT BE HANDED TO ANY TEACHER AS CASH PAYMENTS ARE NOT WELCOME. PLEASE NOTE: ALL FEES ARE NONREFUNDABLE AND CLASSES MISSED WILL NOT BE REPEATED. FEES ARE TO BE PAID AFTER THE FOURTH LESSON TO AVOID A BREAK IN THE FLOW OF LESSONS. ATTACH A PASSPORT PHOTO TO THIS FORM.






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