Copyright 2009 © Varta Academy of Musical Arts. All rights reserved.
QUEENS REGISTRATION FORM
THIS REGISTRATION FORM IS VALID ONLY IF ALL REQUIRED FIELDS ARE FILLED OUT AND THE SCHOOL POLICY CHECK BOX IS CHECKED.
* 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*