Registration Form

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Registration Form

Irama Music Studio

Student First Name *

Student Last Name *

Gender *

Male

Female

Student Type *

Child

Adult

Parents Name *

Customer Email *

Student Birth Date *

YYYY

Mobile Phone Number *

Home Address *

I am interested to enroll in the following programs *

Music for Young Children: Let's Explore (For 1.5 - 3 years old with mommy/daddy)

Music for Young Children: Let's Feel Music (3-4 years old)

Music for Young Children: Music Fundamental (4-5 years old)

Young Beginners Piano ( 4 years old) - Private Class

Classical Piano (5+ years old) or Piano for Adults - Private Class

Piano Masterclass -DR. Christine Utomo

Music Theory ( 5+ years old)- Private/ Semi- Group Class

Classical Violin with Suzuki Method (5+ years old)- Private Class

Tonal Harmony and Music History ( For Grade 5 and above)- Group Class

Voice (6+ years old)- Private Class

Drum (6+ years old)- Private Class

Guitar for Adults

Required

How would you like to have your music lessons? *

Online Lessons via Zoom

Offline lessons at Irama Music Studio at Jln Perniagaan no. 53 A

Offline Lessons At Home ( for Piano Lessons only)

Required

Social Media Publicity Agreement *

I agree to have my pictures taken and published on the social media

I disagree to have my pictures taken and published on the social media

Other:

Required

Please read our following class policy *

Submit new student registration fee in the amount of 350.000

Tuition payment should be remitted monthly by the 15th of each month

All invoice payments shall be made through electronic transfer to BCA 0222965142 Christine Utomo

Required

Notes

For the trial class, only the student concerned is allowed to be in the class room during the session

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