Group Class Enrolment 2024/2025
This form is for GROUP classes only - If you are looking for Private (one on one) lessons please fill in the form here - https://forms.gle/f19MtSqMiecK2sdK7
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Email *
STUDENT INFORMATION
Student First Name *
Student Surname *
How old is the student? *
Date Of Birth *
MM
/
DD
/
YYYY
Address *
Parent / Guardian Name *
Phone Number *
Email Address *
How did you hear about Mezzo Music Academy? *
Do you wish to rent an instrument from Mezzo for the term? *
Does the student have a medical condition, or any additional learning or behavioural needs? *
If yes, please give details.                                                                                                                                             This information will be treated with the strictest confidence. It is important that the teacher is made aware of any circumstances which might affect the student's wellbeing, behaviour, or ability to learn.
Please describe the student's previous musical experience, if any.
CLASS SCHEDULING
Small Group Classes (ages 5-7) - Select one Instrument ONLY.
For Pre-instrumental (ages 4-6, exploring different instruments weekly) please select in courses section below)

Select Course(s)
Day & Time Preference (please choose at least 3 options)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
9am - 11am
11am - 1pm
1pm - 3pm
3pm - 5pm
5pm - 7pm
7pm - 9pm
Any additional information regarding day & time slots:
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