Enrolment for Child Child's First name (required) Child's Last name (required) Mothers First Name Mothers Last Name Fathers First Name Fathers Last Name School The Child Attends Home Address Email address for communication with parent, and receiving invoices Mobile number of parent supervising the child Birthday What has prompted their interest in music lessons? What do you hope to achieve with their music lessons? Do you have any concerns about it? Is there anything you would like me to know, so I can do my best for you and your child? My child is interested in Playing the keyboard lessons - pop songsPlaying the keyboard lessons - doesn't really knowPlaying the piano lessons - classical musicPlaying the flute lessons - they are/were in the school bandAchieving music examsUnderstanding Music theoryComposing their own musicBeing creative with musicPlaying in studio concertsExpressing themselves creatively through musicBrainAlive with MusicSchool Holiday Workshops If they tick School Holiday Workshops then these questions pop up I am interested in school holiday workshops on these days MondayTuesdayWednesdayThursdayFriday1 hour2 hours3 hoursHalf dayFull DayMultiple days My preferred regular weekly music lesson times 30 minutes45 minutes1 hour2 hours3 hoursHalf dayOne consultationOne each weekTwo each weekThree each week My preferred lesson days TuesdayWednesdayThursdayFriday My preferred lesson times 2.00pm2.30pm3.00pm3.30pm4.00pm4.30pm5.00pm5.30pm6.00pm How did you find me? School NewsletterPurple Tempo WebsiteInstagramWord of mouthMet Pamela Referral From Would you like to receive Purple Tempo News? YesNo PLEASE NOTE; your information will be treated in the strictest confidence and with utmost care for your privacy offline and online.
