Music Lessons Application | Horus Academy

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Private Lessons Application

Date:

Are you a Parent applying for a Child?

Yes

No

Applicant's Name

Relationship to the student?

Applicant's Cell Phone

Applicant's Email Address

Studnet's First Name

Student's Middle Name

Student's Last name

Student's date of birth

Student's Email

Student's Phone

Home Address

Is the Mailing Address the same as the resedential address?

Yes

No

Mailing Address

Please Select the Instruments the Student would like to play?

Piano

Acoustic Guitar

Drums

E. Bass

E. Guitar

Vocal

Ukulele

Music Theory

Violin

Cello

Do you have any experience or previous education in the instruments you are applying for?

Yes

No

Please explain:

Are you able to attend lessons/Music Theory and solfeg classes in person, or do you require online accommodation, or both?

Online

In Person

Both

Briefly explain why you are applying for Horus Academy

Briefly describe the moment you realised you wanted to pursue music education.

Would you like to add anything else?

I agree to the terms & conditionsView terms of use

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