ENROLMENT FORM

COMPLETE YOUR ENROLMENT BELOW

MUSIC LESSONS

Hillsborough/Three Kings, Auckland
(021) 115 6791

EMAIL

info@mwmusic.nz
registration@mwmusic.nz

Thank you for your interest in starting music lessons with me. To start the lesson process, please complete the enrolment form below. I will then be in touch to confirm lesson times and pre-requistes and anything else that comes up.
Unfortunately we are experiencing issues with some internet browsers. If possible, please use Google Chrome. Otherwise contact me via email. Sorry for the inconvenience.

Enrolment Form





Student Details

Student's Full Name

Student's Date of Birth

Bill Payer's Contact Details

Full Name

Relationship to Student

Address

Telephone Numbers


Email Address

Tuition Preferences

Please select the lessons you are enrolling in

RecorderFluteSaxophoneClarinetPianoMusic Theory

Musical History
Please list instruments, level and years of experience

Music Theory Knowledge
No UnderstandingBeginnerIntermediateAdvanced

Other Relevant Information
e.g. Areas of talent or giftedness, personality traits, style of learning, special needs, health issues etc.

Please select your preferred lesson time

Tuesday
4.30pm

Wednesday
3.30pm4.00pm4.30pm

Thursday
3.30pm4.30pm

Location

Melanie Wilton Music
One Tree Hill, Auckland 1061
NEW ZEALAND

         

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