Enrolment form for Lewis Eady School Holiday Music programmes

This form is for all students wishing to enrol in holiday programmes.

If you are a new student enrolling for regular 2011 classes, please use the enrolment form here.

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

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

Child's Details
Name of Child*
Date of Birth*
Age*
Gender*
Female
Male
School
Is this child a current pupil with Lewis Eady?
Parent's Details
Name of Parent/Caregiver*
Include title (Mr/Mrs/Ms/Dr etc) if preferred
Home Phone*
Work Phone
Mobile Phone*
Enter n/a if none
Email Address*
Street Address*
Suburb
Course Details
Programme*
Instrument

Comments
Please enter your music teacher's name and contact details if you do not learn with Lewis Eady.
Terms & Conditions?*
Yes
Ticking this box indicates you have read and understood our terms and conditions. Please see the link at the top of the page to view them
How did you hear about us?
 
Events Calendar
> May 23rd - More Info
INTRODUCING TO THE STAGE... Matt Steele
> Jun 13th - More Info
INTRODUCING TO THE STAGE... Naoki Toyomura
 

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