Music Enrolment Form



Student Full Name

Student Year Level

Parent/Guardian Full Name

Parent/Guardian Email Address

Parent/Guardian Contact Telephone

Prior Experience
Student has undertaken lessons on this instrument in the pastStudent has not undertaken lessons and is new to this instrument

If the student has undertaken lessons on this instrument in the past please provide some details regarding experience and levels of achievement. This could include AMEB examination levels, years learning or playing the instrument and other ensemble or performance experience on the instrument:

Preferred type and length of lesson

Name of preferred teacher (if known)

I understand that Music lessons will be billed each term to your school music account and are payable in advance. Lessons commenced part-way through a billing period will be charged on a pro-rata basis.

I understand that written notification is required should a student wish to withdraw from the instrumental music program MUST do so in written form to the Music Administrator at the appropriate campus.

I/We have read the Preshil Co-curricular Music Handbook 2017 and accept the terms and conditions.

Any additional information: