Itinerant Music Lesson Registration

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Please complete this form to register for instrument lessons at Marian College

Email *

Student Full Name

Year Level

Year 9

Year 10

Year 11

Year 12

Year 13

Clear selection

Which instrument would you like to register for? *

Flute

Violin

Cello

Piano ($30 per lesson)

Viola

Drums

Voice (singing) - Please note priority is given to those in the choir

Trumpet

Bassoon

Saxophone

Clarinet

Guitar - acoustic and electric ($20-30 per lesson)

Bass guitar ($30 per lesson)

Other:

Are you taking Music as a subject at school this year?

Yes

Clear selection

What experience do you have on your selected instrument?

Beginner (No experience)

Intermediate (1-3 years of lessons)

Advanced (3 or more years of lessons)

Other:

Clear selection

Student Cell Number

Parent Email Address

Parent Contact Number

Do you need to hire an instrument from the school?

Yes

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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