Fun Fair Trial Fun Fair Trial Registration Form Student Information STUDENT First Name * First STUDENT Last Name * Last Birth Month * JanFebMarAprMayJunJulAugSepOctNovDec Birth Day * Birth Year * Does this student have any special considerations or allergies we can make a confidential accommodation for? * Yes No Please describe special considerations * Parent/Guardian Information PARENT/GUARDIAN First Name * First PARENT/GUARDIAN Last Name * Last Email * Confirm Email * Please re-enter email to confirm Phone * Phone Type * Cell Landline Additional PARENT/GUARDIAN First Name First Additional PARENT/GUARDIAN Last Name Last SECONDARY Email SECONDARY Phone SECONDARY Phone Type Cell Landline Postal Code * Are you (the parent) musically inclined? Kindly give details. This helps our teachers better communicate with you. * Lesson Information Lesson Type * In-Person (with the option to go online if needed) In- Person Only (with NO option to go online) Online Only What type of lesson do you want to register for? * Private Group What instrument are you interested in? Please complete an additional form if the student is signing up for more than one instrument. * Intro Piano (ages 4-8) Modern Piano (ages 5+) Classical Piano (ages 5+) Voice (ages 5+) Voice / Intro Piano (ages 5-8) Ukulele / Sing-a-long (ages 4+) Ukulele (ages 4+) Guitar (ages 7+) Electric Bass (ages 8+) Drum Kit (ages 7+) Hand Drumming (ages 6+) Violin (ages 4+) Acting (ages 8+) Music Theory (ages 5+) Musical Theatre – Private (ages 6+) Steps To Music – Private (ages 3-5) What group are you interested in? Please complete an additional form if the student is signing up for more than one instrument. * Tiny Tunes STM – Group – Yr 1 STM – Group – Yr 2 Junior Musical Theatre Intermediate Musical Theatre Senior Musical Theatre Junior Pop Choir Intermediate Pop Choir Beginner Pop Band Intermediate Pop Band Advanced Pop Band Beginner Rock Band Intermediate Rock Band Advanced Rock Band Junior PULSE Percussion Ensemble PULSE Percussion Ensemble Junior Songwriting & Recording Intermediate Songwriting & Recording Drama Club Beginner Music Theory Intermediate Music Theory Group Intro Piano Yr 1 Group Intro Piano Yr 2 Beginner String Ensemble Intermediate String Ensemble Group Ukulele / Sing-a-long Intermediate Guitar Circle Adult Beginner Guitar Circle Adult Theory Class What lesson length (in minutes) would you like for your lessons? * 30456075Help me choose Day * MondayTuesdayWednesdayThursdayFridaySaturday Time * 9:00 AM9:15 AM9:30 AM9:45 AM10:00 AM10:15 AM10:30 AM10:45 AM11:00 AM11:15 AM11:30 AM11:45 AM12:00 PM12:15 PM12:30 PM12:45 PM1:00 PM1:15 PM1:30 PM1:45 PM2:00 PM2:15 PM2:30 PM2:45 PM3:00 PM3:15 PM3:30 PM3:45 PM4:00 PM4:15 PM4:30 PM4:45 PM5:00 PM5:15 PM5:30 PM5:45 PM6:00 PM6:15 PM6:30 PM6:45 PM7:00 PM7:15 PM7:30 PM7:45 PM8:00 PM8:15 PM8:30 PM8:45 PM9:00 PM9:15 PM9:30 PM Teacher * Teaching Notes: Use this optional section for general comments. How does this student learn best? Are they a beginner? Experience on other instruments? Any other comments on their personality or interests that might help their teacher. Thanks! How would you like to pay? Cash Credit card Card on file Payment * Payment Payment Payment Month 123456789101112 Month Payment Year 20252026202720282029203020312032203320342035 Year Payment Continue to Summary
