Copyright 2009 © Varta Academy of Musical Arts. All rights reserved.
QUEENS REGISTRATION FORM
* required field
A.
PARENT/ADULT STUDENT INFORMATION
Parent's Name*
Home Address*
Email Address*
Home Phone Number*
Mobile Phone Number*
B.
STUDENT 1
Name of Student 1*
Instrument/Class 1*
Lesson Duration 1*
Instrument/Class 2
Lesson Duration 2
Age*
School*
Availability*
(Please write all available days/times separated by commas)
If no more students are being registered, please skip to section E
C.
STUDENT 2
Name of Student 2
Instrument/Class 1
Lesson Duration 1
Instrument/Class 2
Lesson Duration 2
Age
School
Availability
(Please write all available days/times separated by commas)
If no more students are being registered, please skip to section E
D.
STUDENT 3
Name of Student 3
Instrument/Class 1
Lesson Duration 1
Instrument/Class 2
Lesson Duration 2
Age
School
Availability
(Please write all available days/times separated by commas)
If no more students are being registered, please skip to section E
E.
How did you hear
about us?
Comments:
F.
Please, click on the button below to read the School Policy.*
SCHOOL POLICY
I have read and agree with the Policy of Varta Academy of Musical Arts.*
Date*