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FSM Music Programs Inquiry Form
Please fill up this form if you are interested in Music Programs.
We will contact you regarding details as soon as possible.
* Indicates required question
Student Name
*
Your answer
Student Age
*
Your answer
Which program would you like to register?
*
Music Theory For Beginners
Music History For Kids
Music History For Adults
Music Relaxation
ABRSM Music Theory
CM Music Theory
Required
Parents/Caregiver/Customer Name
*
Your answer
Relation To The Student
Your answer
Primary E-Mail Address
*
Your answer
E-Mail Address 2
Your answer
Primary Phone Number
*
Your answer
Phone Number 2
Your answer
Experience (if any)
Your answer
Do you have a musical instrument at home?
*
Yes
No
If yes, what kind of instrument/s?
Your answer
How did you learn about the Fantasia School of Music?
Google
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Facebook
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Referral
Walk-In
Other
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Comments/ Notes
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