Registration Form — Vivace Music

Registration Form

First Student's Name (First, Last)

First Name

Last Name

Second Student's Name (First, Last)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

First Child's Birthday

MM

DD

YYYY

Second Child's Birthday

MM

DD

YYYY

School

Preferred Lesson Day (Please check off ALL the days you are available)

Put let us know your 1st, 2nd and 3rd choice as well.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Preferred Lesson Time

Please list all the time-slots that works for you. For example: Mondays anytime after 4:00pm OR Tuesdays between 4:00pm-7:00pm. Please list absolutely all the day(s) and time(s) that works for you!

Are you able to come to the studio in Lake Bonavista for the lessons?

MUSICAL BACKGROUND: Have you taken any private music lessons before. If so, for how long and where? and why are you switching?

“ To be Inspired. To be Confident. To be Creative”