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Adult or Parent for Child learner: Adult LearnerParent of studentStudent

Name of Child:

Preferred Locations: Melbourne 3004 studio

Instrument of Interest:PianoVoiceViolinTheoryI'm interested in ore than one instrument

Second Instrument of Interest, if any

Preferred Days/Time

Please briefly describe your past or current music experiences:Please briefly describe your past or current music experiences:

Are you interested in partaking in AMEB exams?YesNoUnsure

Do you have your own instrument to practise? Please describe:

How did you hear from us?

Please read the Lessons Policy before submitting this form. Have you read and agree to the Lessons Policy for Melbourne Music Education?YesNo I Have a FurtherEnquiries

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We will be in touch with you within 3 business days to confirm your registration and arrange your first music lesson.

For further enquiries, please contact our director, Ann on 0466918817 or email: info@melbmusicedu.com.au