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STUDENT REGISTRATION

Please complete and submit this STUDENT REGISTRATION FORM to register your interest to Enrol with IMAGINATION MUSIC.
 
* Request Enrolment
* Contact Name
* Address
* City
Phone Number
* Email Address
 
* Student Name
* Student Date of Birth
* Instrument Preference
* Tuition Type
Preferred Lesson Day/Time (if known)
* Previous Experience
Music Goals
* Instrument Details
Learning Challenges
Learning Challenges Details
Additional Information
* Preferred Contact Method
* COMPETITION ENTRY