ONLINE REGISTRATION FORM FOR PIANO COURSES
Course:
*If you are unsure about which course to take, leave
POP PIANO (BEGINNER) POP PIANO IMPROVISATION) JAZZ PIANO
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?: Weekday afternoons Weekday nights Weekends Weekday lunch time
Music Background:
No Foundation at all Piano Practical Grade 1-4 Piano Practical Grade 5-8
Can play a little bit Diploma Self Taught School band Able to play other instruments
Are you able to
Yes No Yes, but struggling
Are you able to
Yes No Yes, but struggling
Are you able to
Yes No Yes, but struggling
Are you able to
Yes No Yes, but struggling
*If you are a complete beginner in music, leave this
Are you able to
Yes No Yes, but struggling
Have you been
Yes No, I haven't touch the piano since ages
Elaborate further on
What genre of music
Chinese Latest Pop English Latest Pop Praise & worship Rock&Metal
Chinese Oldies English Oldies Anime Jazz Japanese&Korean
Do you like the idea
Yes No Maybe
Do you have a piano
Yes No
What's your purpose
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
Yes No, a few months should do See how it goes
How do you want
A very fixed structure/system I want complete flexibility
How often do you
Few times in a month Once in a month Once in a few months Seldom
Why did you decide
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
Friends
Newspaper Yahoo/Google Best Denki
Walked past our school Facebook Youtube Online Classifieds
Do you have any
SCHOOL POLICY
I understand that I have to give 3 days notice in advance via email to the school, 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 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.
I understand that I have to give 4 weeks notice in advance via email to the school, should I need to terminate or suspend ("take a break") from my piano lessons.
I understand that I am only able to postpone a maximum of one lesson in a month.
I understand that the school policy in regards to the lesson makeup system in the event that I have to miss a lesson. cleared outside your regular lessons (regular day&time).
I understand and agree with all of the above school policies. Please proceed with payment.
