PLAYGROUP ENROLLMENT FORM
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Student Name
Age
Date of Birth
Gender
Location (City, Region)
Chosen Course
Clear selection
Choose Schedule for Early Childhood Music Playgroup
Choose from the class schedules below. Tick the box of your chosen class schedule/s.

Nursery/Baby Music (6mos to 1yo- non-walking babies)

Little Mozart (1 to 2.5yo)  (choice of 1 or 2-hour class)

Beethoven Juniors (2.5 to 5yo) (1 or 2 hour class) 

Name of Parent/Guardian
Parent/Guardian's name in Facebook (so we could find & contact you)
Pease indicate if there is existing medical condition, disability or concerning behavior about your child. 
Contact Number
Email address
For 1 on 1 Music Instrument Lessons, please indicate the instrument.  Please message us at our Facebook page to discuss with the schedule.
Please let us know when registration was submitted. Please message us at our Facebook page.
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