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Registration Form

This registration form is for Jubal's Music Center and collects information such as name, contact details, date of birth, school details, and instrument of choice from the student. It also requires signatures from both the student and their parent or guardian to confirm their enrollment and chosen lesson schedule.

Uploaded by

Elaine Mae Guillermo Esposo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
110 views

Registration Form

This registration form is for Jubal's Music Center and collects information such as name, contact details, date of birth, school details, and instrument of choice from the student. It also requires signatures from both the student and their parent or guardian to confirm their enrollment and chosen lesson schedule.

Uploaded by

Elaine Mae Guillermo Esposo
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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JUBAL’S MUSIC CENTER

REGISTRATION FORM

Name: ______________________________________________________________________
(First Name) (Middle Initial) (Last Name)
Nickname: _______________________________________

Birthday: _______________________________ Age: ________________

School: ______________________________________ Grade Level: ____________________

Address: ____________________________________________________________________

Mobile Number: ______________________________

Name of Parent/Guardian: _____________________________________________________

Parents’/Guardian’s Contact Number: __________________________________________

Enrolling for (Please check () one):


[ ] Piano Lesson [ ] Guitar Lesson [ ] Violin Lesson

[ ] Drum Lesson [ ] Voice Lesson

SCHEDULE:
Lesson Day/s: ____________________________________
Time: ___________________________________________

_________________________________________________
STUDENTS’ SIGNATURE

_________________________________________________
PARENTS’/GUARDIAN’S SIGNATURE

DATE: _____________

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