Eden Academy Enrollment Form

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is years submission

Student Name *

First

Last

Email Address

Contact/WhatsApp Number *

Parent/Guardian Name (if student is under 18 years old)

First

Last

Parent/Guardian Relationship to Student

Parent/Guardian Email Address

Parent/Guardian Contact/WhatsApp Number

What instrument(s) are you interested in learning? (you can select multiple)

Piano / Keyboard
Guitar
Violin
Cello
Voice / Singing
Songwriting
Music Theory
Trumpet
Bass
Other

If "Other" please specify:

Have you studied music before?

What level would you consider yourself?

Tell us about your music goals.

Do you currently own or have regular access to your instrument?

For adult students: I confirm that the information provided in this registration form is accurate and understand that submitting this form is an application for enrollment in the Music Academy. I understand that submission of this form does not necessarily guarantee placement in a specific class, instructor, or schedule.

I agree

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