More Than A Song Studios - Membership Registration 2022/2023
Enrollment for music lessons 2022/2023
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Student Name: *
(First and Last Name Required)
Age: *
Date of Birth *
MM
/
DD
/
YYYY
Gender: *
Parent/Guardian Name:  
(Please move to the next section if you are above 18 years of age)
Email Address: *
Contact Phone 1: *
(e.g. no spaces - 6135555555)
Contact Phone 2 *
(e.g. no spaces - 6135555555)
Address: *
(Full address - including house number, street name and postal code)
Emergency Contact:   *
Contact Telephone Number: *
Any previous musical experience?  If so briefly share: *
Health/Behavioral or Special Concerns:   *
If none - please specify "N/A"
I am registering for: *
Please select your first desired option.
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