Thank you for your interest in our Pop Music Classes! Please fill out the following form to complete your registration. This form ensures we have all the necessary information to provide you with the best learning experience.
First Name
Last Name
Date of Birth
Gender
Phone Number
Email Address
Street Address
City
State/Province
Zip/Postal Code
Country
First Name
Last Name
Relationship
Phone Number
Desired Class Type
Vocal Training
Instrumental
Songwriting
Music Production
Performance Skills
Please specify if you select Instrumental.
Skill Level
Beginner
Intermediate
Advanced
Preferred Schedule
Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time
Morning
Afternoon
Evening
Group or Private Lessons
Group
Private
Do you have prior musical experience?
If yes, please describe.
Do you play any instruments?
If yes, please specify.
Are you currently taking any other music classes?
If yes, please specify.
Do you have any medical conditions or allergies we should be aware of?
If yes, please specify.
Do you require any special accommodations?
If yes, please specify.
Payment Method
Online Payment
Bank Transfer
Cash
Check
Payment Plan
Full Payment
Installments
Cash
Check
Scholarship or Financial Aid Request
If yes, please provide details.
I have read and agree to the terms and conditions of the Pop Music Class program.
I understand that fees are non-refundable after the first week of classes.
I give permission for photos/videos taken during classes to be used for promotional purposes.
Signature
To configure an element, select it on the form.