PANAGA CLUB - Panaga Music Society Music Lesson Registration Form
Before filling in this form, please ensure that you are a member of the Panaga Club.

Music lessons at the Panaga Club are organised by the Panaga Music Society.
When a lesson time and teacher become available we will get in contact with you via e-mail.
You will be sent an acceptance form to secure your place and authorise the club to deduct class fees.

Name of Student (First Name, Surname): *
Your answer
Students Date of Birth (dd/mm/yyyy): *
MM
/
DD
/
YYYY
Name of Parent/Guardian (if applicable)
Your answer
Music Lessons the student wishes to apply for: *
Required
Music Background (Instrument/Grade/Previous years of instruction); if applicable:
Your answer
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