SIGN-UP
ONLINE REGISTRATION FORM FOR POP & JAZZ PIANO
IMPROVISATION COURSES
POP PIANO IMPROVISATION
(BEGINNER) PBES LEVEL 1
POP PIANO IMPROVISATION
PBES LEVEL 2
JAZZ PIANO
PBES
Course:
*If you are unsure about which course to take, leave it blank. We can assess and decide for you later.
Full  Name:
Gender:
Female
Male
Date of Birth:
Home Address:
Occupation:
Name of
Company:
Your email
address:
Mobile number:
What are your preferred days/timings for your
lessons? (You may tick more than one):
Weekday
afternoons
Weekday
nights
Weekends
Weekday lunch time
No Foundation at all
Piano Practical Grade 1-4
Piano Practical Grade 5-8
Music
Background:
Can play a
little bit
Diploma
Self Taught
School
band
Able to play other instruments
Are you able to
play with 2
hands?:
Yes
No
Yes, but struggling
Are you able to
play with basic
chords?:
Yes
No
Yes, but struggling
Are you able to
play with 7th
chords?:
Yes
No
Yes, but struggling
Are you able to
improvise and
play by ear?:
Yes
No
Yes, but struggling
*If you are a complete beginner in music,
leave this whole section blank.
Are you able to
sight-read
notations?:
Yes
No
Yes, but struggling
Have you been
actively playing
the piano?:
Yes
No, I haven't touch the piano
since ages
Elaborate further
on your musical
background if
needed:
What genre of
music are you
interested in
learning?:
Chinese Latest Pop
English Latest Pop
Praise & worship
Rock&Metal
Chinese Oldies
English Oldies
Anime
Jazz
Japanese&Korean
Do you like the
idea of playing
and singing at
the same time?:
Yes
No
Maybe
Do you have a
piano or a
keyboard at
home?:
Yes
No
What's your
purpose of
learning Pop
Piano?:
Special purpose: Example:
To propose for marriage
I am sick of
Classical!
For
leisure
For worship purposes
To past time &
Destress
Hoping to perform
some day
For career
purposes
I have no idea
actually
Are you planning
to learn Pop
Piano at a long
term?:
Yes
No, a few months
should do
See how it goes
How do you want
your lessons to
be conducted?:
A fixed structure/system
following PBE Syllabus
I want complete
flexibility
How often do you
travel for
work/holiday?:
Few times in a
month
Once in a
month
Once in a few
months
Seldom
Why did you
decide on PLAY
BY EAR music
school?:
I am sick of Classical!
Reommendations by friends
This is exactly what I am looking for
Interesting
concept
Impressive
website
Near to
home/workplace
Reasonably fees
From which
source did you
first learn about
us?:
Friends
Newspaper
Yahoo/Google
Best Denki
Walked past
our school
Facebook
Youtube
Online Classifieds
Do you have any
goals or
expectations to
meet?:
SCHOOL POLICY
Dear student, it is important that you have read and fully understand and agree to our school policies before you enrol in our school.
I understand
1) I have to give
3 days notice in advance via www.postpone.biz should I need to postpone or change my timing.

NOTE: When you attempt to postpone a lesson last minute, we understand that 99% of the time it’s not your fault! (E.g. OT, meetings, school
work, appointments, travels, not feeling well, etc) But sadly, our instructors have standby on a fixed weekly basis for your planned lessons.
When you postpone a lesson last minute, we are unlikely to find a replacement student, and the time slot sadly goes ‘wasted’. The instructors
are still been paid for the day and thus your missed lesson will still be ‘counted’. However, if you are able to produce a M.C. for the day you
missed, we will return you a makeup lesson! That will be our only exception, and we sincerely appreciate your understanding.

2) I have to give
4 weeks notice in advance via email (postpone@play-by-ear.net), should I need to terminate or suspend ("take a
break") from my piano lessons. And that I am only able to postpone
a maximum of one lesson in a month.

3) the school policy in regards to the
lesson makeup system in the event that I have to miss a lesson. To book your makeup lessons, you may
do so via
www.postpone.biz

NOTE: If you missed a lesson (with 3 days notice), we will return you a makeup lesson. However, you will not be able to "push back" your
lessons in a way. Your makeup lessons have to be cleared outside your regular lessons (regular day&time).

4) Should your assigned instructor is ill in rare occasions, a relief instructor will cover for him or her.
I understand and agree with all of the above school policies. Please proceed
with payment.
Proceed payment of SG$50
(deposit) via credit card.
If you
prefer to pay via CASH or NETS, do
not register online!
Instead, please
register at our school physically!
Once the payment is completed, you
should receive a call from us within the
next day. We will arrange a fixed slot and
an instructor for you over the phone.
When you attend your first lesson, you
will make the remaining balance payment.
Fill up the ONLINE registration form
(scroll below)
PLAY BY EAR MUSIC SCHOOL -  POP PIANO/JAZZ PIANO IMPROVISATION MUSIC COURSES FOR ADULTS  -  SALE OF DIGITAL PIANOS & BOOKS
ADDRESS:
245A /245B VICTORIA STREET, BUGIS VILLAGE, SINGAPORE (188032) |  TEL: ( +065 ) 63387939 |  EMAIL: INFO@PLAY-BY-EAR.NET