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ENROL FOR APOLLO
MUSIC ACADEMY

Please complete and submit the form below, and we will contact you shortly via email to welcome you to Apollo Music Academy.

Should you require assistance or have any general inquiries in the meantime, give us a ring on 0402 367 457, or Email info@apollomusicacademy.com.au

Enrolment Form

Student Details

First Name

Last name

Nickname (If Applicable)

Gender

Male

Female

Non-Binary

Other

Prefer Not to Say

School

Date of Birth

Class/Grade (If Applicable)

Lesson Details

Lesson Type

Private (1 on 1)

Shared (2 on 1)

Rock Band

Musical Instument

Piano / Keyboard

Guitar

Drums

Singing / Vocals

Ukelele

Bass Guitar

Preferred Lesson Times

Before School Hours

During Class Time

Lunch Time

After School Hours

Days Unavailable (If preferred is before/after school)

Monday

Tuesday

Wednesday

Thursday

Friday

Special Requests or Considerations

Parent/Guardian Details

Primary Parent/Guardian

Primary Parent/Guardian

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Phone

Email

Terms & Conditions

By ticking the box below, you are accepting our Terms & Conditions.

I accept Apollo Music Academy's Terms & Conditions.View Terms & Conditions

Ph. 0402 367 457

Em. info@apollomusicacademy.com.au

©2023, JC Music.

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