Contact us: 0481 988 755 Email us: info@northernmusic.com.au
Student Surname:
Student First name:
Musical Instrument:
Email Address for accounts: Email Confirm:
Parent 1 surname
Parent 1 First name
Parent 1 Mobile no.
Parent 2 surname
Parent 2 First name
Parent 2Mobile no. Address: Preferred Payment Option: Your teacher will discuss payment options with you
Preferred Day/Time:
How did you find out about Northern Music School? Google SearchOther internet searchWord of MouthOther
Please read the missed lesson policy:
I have read and agree to the missed lesson policy