EmailMe Form - ALABANZA MUSIC

Today's Date *
DD / MM / YYYY
Student Name *
First Last
Email *
Mobile Phone *
### - ### - ####
Gender *
Male
Female
Enter Student Age *
Date of Birth (eg. 25 Dec 2017) *
Group *
MAIN INTEREST *
Additional interests can be indicated lower down on the form.
Location & Preferred day/s (Semester schedule) *
St. Aug Saturday AM
St. Aug Weekday PM
San F'do Monday PM
POS Saturday PM
Kindly check our schedule online to verify which days are available for class for your location.
Can you bring your instrument to class? *
Keyboardists should have keyboard, stand and bench. Rental facility available for those without instruments & equipment for class use.
Where did you hear about us? *
Subscribe to our mailing list for updates and special discounts. *
By selecting "Yes subscribe" you have agreed to receive periodic updates from us and are providing express consent to receive these messages. You may unsubscribe at any time using the link included in each email message.
Home Address *
In which region are you located? *
Choose the location you're likely to be coming from or returning to when attending class.
Enter PARENT/GUARDIAN Name *
Applicable to Students under 18yrs of age
Any Health/Developmental challenges?
Please indicate any existing health conditions, special needs or developmental challenges of which we would need to be made aware.
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Fill in where relevant.
Are you interested in attending a Preview Music Musikgarten Class?
I'm ready to join right away!
Yes, I'd like to sign up for a Preview Session during the Semester
Preview classes are available for Musikgarten Family Music classes Sept-Jan and Feb-June Semester. We offer families the opportunity to try a class with no obligation to enrol. When the family enrols, the first visit will be rolled into the normal tuition.
Previous Knowledge in Music/Language
Other interest/s you may have
Family Music Babies (0-17m)
Music Theory Exams (9yrs+)
Family Music Toddlers (15m+)
Practical Exams (9yrs+)
Music for Preschoolers (3½ yrs+)
Singing/Chorus
Music for Infant Primary (5½ yrs+)
Spanish for Preschoolers
Keyboard (6½ yrs+)
Spanish for Infant Primary
Tenor Steelpan
Spanish for Std 1-4 Primary
Ear Training
Spanish for Adults
You may select more than one option
Message/Information
Kindly check email/text message for a session confirmation within a couple of days once the course/area of interest is available (may take a few days if sent over the weekend or during peak season. Be sure to follow up by phone.

Thank you for your interest. We look forward to you joining us!

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