Enrolment form for Lewis Eady Music School classes

If you have any questions before enrolling yourself or your child, feel free to view the FAQ's section or contact us.

Please also read our terms and conditions before completing the form.

Please note: For lessons at school during school time, you must be an enrolled pupil at that particular school.

Student Details

Name*

Gender*

	Female
	Male

Lesson Venue*

Only students who attend a partner school are authorised to have lessons at that school. *Individual lessons only available at Gt Sth Rd, with the exception of Cosmic Keys

Adult pupil?*

	No
	Yes

Have you studied music with us previously?

	Yes
	No

If you are an adult pupil, please skip through to contact details section

Date of Birth

Age

Year at school in 2012
(Only required for primary and intermediate school students)

What school will you be attending this term?

If different from lesson venue

Contact Details

Parent/Caregiver name or please repeat your name if lessons are for you*

Please also include title (Mr/Mrs/Dr etc) if you prefer

Home Phone Number*

Mobile Phone Number*

Work Phone Number

Street Address*

Suburb*

Town/City*

Email Address*

Lesson Details

Individual or Small Group Tuition *

	Individual
	Small Group

To make good musical progress, it is necessary to have an instrument at home to practice on. Please visit our Music School Shop to view what's in store

Instrument or Music Programme*

Do you have an instrument?*

I agree to the Lewis Eady terms and conditions*

Yes

I have read, understand & agree to the Lewis Eady terms & conditions including that unless I provide 4 weeks written or email notice of cancellation, enrolment is for a full year.

Comments

Use this field to let us know of any time preferences i.e. "Wednesdays" or "before 6pm Mondays or Tuesdays"

How did you hear about us?