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AP Music & Art Studio

Enrollment Form

How did you hear about us? (If referred by a parent, please specify)"*

SECTION 1: STUDENT INFORMATION

First Name*

Surname*

Email Address*

Contact number*

Address

Date of birth

Day

Month

Year

SECTION 2: MUSIC BACKGROUND

Have you learned piano before?

YES

No

If yes:

Approximate Level (e.g. AMEB Grade / TRINITY/ ABRSM Grade):

How many years have you learned?

Current or last method books used:

Current pieces / repertoire (optional):

SECTION 3: LEARNING GOALS

What are your learning goals? (Select all that apply)

Exams (AMEB / ABRSM/ TRINITY)

Leisure / Hobby

Pop music / Chords

Others

SECTION 4: LESSON PREFERENCES

English

Cantonese

Mandarin

Preferred lesson day:

Preferred time:

Lesson duration:

Behaviour / Special Needs

Does the student have any learning, behavioural, or special needs we should be aware of? (Examples: ADHD, ASD, anxiety, sensory sensitivities, etc.)

No

Yes

If yes, please provide details on how this may affect learning:

Instrument Access

Does the student have access to a piano or keyboard at home?

Yes – Acoustic piano

Yes – Digital piano

Yes – Keyboard

No

Regular practice at home is essential for progress.

Practice Commitment

How many days per week can the student realistically practice?

Parent Expectation

What are your expectations from piano lessons?

SECTION 6: PHOTO & VIDEO CONSENT (UNDER 18)

PHOTO & VIDEO CONSENT (UNDER 18)

I give permission for my child to be photographed and/or video recorded for teaching and promotional purposes.

I understand that no personal identifying information will be disclosed.

Submission of this form does not guarantee a place. Our manager will review and confirm via email.

AP Music & Art Studio

Contact

General Inquiries
info@ap-musicart.com.au
Location:
Alphington / Templestowe Lower

Socials

Instagram

Policy

Lesson Absence Policy

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