Music School Application Form
For Returning Student

 

Student Information

 

Student Name

First Name

Last Name

Select Instrument

Length of Lesson

Current Teacher Name

Parent/Guardian Name

First Name

Last Name

Mobile Phone

Email

 

Payment Information

 

Please select the lesson.

Music Lessons

Tuition per 18 weeks

Select?

No. of Student

Subtotal

A
B
C
D
E
1
GUITAR LESSON
 
 
 
 
2
Guitar - 30 mins
 
 
$0.00
3
Guitar - 45 mins
 
 
$0.00
4
Guitar - 60 mins
 
 
$0.00
5
 
 
 
 
 
6
PIANO LESSON
 
 
 
 
7
Piano - 30 mins
 
 
$0.00
8
Piano - 45 mins
 
 
$0.00
9
Piano - 60 mins
 
 
$0.00
10
 
 
 
 
 
11
SAXOPHONE LESSON
 
 
 
 
12
Saxophone - 30 mins
 
 
$0.00
13
Saxophone - 45 mins
 
 
$0.00
14
Saxophone - 60 mins
 
 
$0.00
15
 
 
 
 
 
16
TROMBONE LESSON
 
 
 
 
17
Trombone - 30 mins
 
 
$0.00
18
Trombone - 45 mins
 
 
$0.00
19
Trombone - 60 mins
 
 
$0.00
20
 
 
 
 
 
21
TRUMPET LESSON
 
 
 
 
22
Trumpet - 30 mins
 
 
$0.00
23
Trumpet - 45 mins
 
 
$0.00
24
Trumpet - 60 mins
 
 
$0.00
25
 
 
 
 
 
26
VIOLIN LESSON
 
 
 
 
27
Violin - 30 mins
 
 
$0.00
28
Violin - 45 mins
 
 
$0.00
29
Violin - 60 mins
 
 
$0.00
30
 
 
 
Total Tuition
$0.00
 

To configure an element, select it on the form.

To add a new question or element, click the Question & Element button in the vertical toolbar on the left.