Copyright 2009 © Varta Academy of Musical Arts. All rights reserved.
QUEENS REGISTRATION FORM
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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*
piano
violin
guitar
drums
voice
acting the song
Do Re Mi Bee Toddler
Do Re Mi Bee Pre-Schooler
Do Re Mi Bee Pre-K
Instrument/Class 1*
30 min
60 min
45 min
group class
Lesson Duration 1*
piano
violin
guitar
drums
voice
acting the song
Do Re Mi Bee Toddler
Do Re Mi Pre-Schooler
Do Re Mi Bee Pre-K
Instrument/Class 2
30 min
45 min
60 min
group class
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
piano
violin
guitar
drums
voice
acting the song
Do Re Mi Bee Toddler
Do Re Mi Bee Preschooler
Do Re Mi Bee Pre-K
Instrument/Class 1
Lesson Duration 1
30 min
45 min
60 min
group class
piano
violin
guitar
drums
voice
acting the song
Do Re Mi Bee Toddler
Do Re Mi Bee Pre-Schooler
Do Re Mi Bee Pre-K
Instrument/Class 2
30 min
45 min
60 min
group class
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
piano
violin
guitar
drums
voice
acting the song
Do Re Mi Bee Toddler
Do Re Mi Bee Pre-Schooler
Do Re Mi Bee Pre-K
Instrument/Class 1
Lesson Duration 1
30 min
45 min
60 min
group class
piano
violin
guitar
drums
voice
acting the song
Do Re Mi Bee Toddler
Do Re Mi Beep Pre-Schooler
Do Rre Mi Bee Pre-K
Instrument/Class 2
30 min
45 min
60 min
group class
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
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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.*
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