Wendy's Music Enrolment Form

Student name Instrument

Date of birth Parents' names

Address

Phone BH AH MOB

Email address

If you selected 'School', which school?

Please list times available for lessons if not a school program.

Which type of lesson do you prefer?

School Programs	Studio Program
30 minute individual 20 minute individual 30 minute group	White - 40 minute class Black - 60 minute class Red - 80 minute class FREE TRIAL LESSON!

N.B. Groups are dependant on availability of similar age and standard. If a suitable group is unavailable, an individual lesson will be offered or you may be placed on a waiting list. Which would you prefer?

Individual lesson, or Waiting list

Current Standard: ( eg. how long have you learned )

Do you own your own instrument? Yes, No
Do you intend to hire? Prices start at $21 per monthYes, No
Are you interested in purchasing an instrument ? Yes, No

or