Registration Form (one to one)
Academic Year 2023 - 2024
Student's
*
First Name
Last Name
Student's Date of Birth
-
Day
-
Month
Year
Lesson you want to take
*
Piano
Guitar
Singing
Drums
Violin
Drums (home visit)
Piano (Home Visit)
Guitar (Home visit)
Duration of Lesson
*
30 minutes
60 minutes
Location
*
Online
Harrow Studios
Home Visit (Drums/Piano/Guitar)
Parent/Guardian's
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Post code
Phone Number
*
-
Phone Number
Retype phone number
Email
*
Does the Student have any disabilities?
(It is vital that we are aware of any disabilities so that teachers are able to structure lessons to suit the student's specific needs and achieve the best results for the student. All information will be strictly confidential).
Does the Student have any disabilities?
*
Yes
No
If yes, please describe the nature of the disability/disabilities below
Submit
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