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Intune Sign Up Form

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Khadejah Stewart
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7 views

Intune Sign Up Form

Uploaded by

Khadejah Stewart
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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REGISTRATION AND AGREEMENT FORM

FULL NAME DATE

Date of Birth Gender: __Male __Female Age

Address

Phone Number Email

Emergency/ Parents Contact Name & Phone

Addition Information Have you ever had music lessons before?


 Yes  No
Known Allergies, Disabilities or illness_______________ If Yes, state:__________________________

Programs

 Basic Piano  Performance Piano  Classic Piano  Guitar  Drums  Vocal Training

Classical Piano program may have different pricing structures due to its specialized nature as it entails
special materials and exam fees. All of which would be clarified after a student assessment.

Payment Method Payment Information: OFFICIAL USE ONLY


- Registration Fee: _____________________
 Cash  Cheque - Monthly Fee: ________________________
- Material Fee:________________________
- Total Amount: _______________________

Consent and Agreement:


By signing below, I acknowledge that I have read and understood the school's guidelines, policies, and terms
of enrollment. I agree to abide by these guidelines and adhere to the payment schedule. I understand that
any missed classes or lesson cancellations must be communicated in advance, and fees are non-refundable
except in limited circumstances determined by the school administration.

Parent/Guardian Signature: _____________________


Date: _________________

Student Signature (if 18 years or older): _____________________


Date: _________________

Please submit the completed form along with the registration fee to the administrative staff at Intune School
of Music. Thank you for choosing our school, and we look forward to providing you with a rewarding musical
experience. Call or WhatsApp: 784-593-0007 or email: [email protected] for support.

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