Course Enquiry Form If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Full Name * Date of Birth (DD/MM/YYYY) * Phone Number * Email * Course of Interest * Pop Ukulele Pop Guitar Pop Piano Pop Violin Play & Sing [Piano] Play & Sing [Ukulele] Play & Sing [Guitar] Music Theory Preferred Class Size * Group Individual Preferred Day * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Preferred Time-Slot * 1pm - 2pm (weekends only) 2pm - 3pm (weekends only) 3pm - 4pm (weekends only) 4pm - 5pm (weekends only) 5pm - 6pm (weekends only) 6pm - 7pm (Friday only) 7pm - 8pm (Mon - Fri only) 8pm - 9pm (Mon - Fri only) 9pm - 10pm (Mon - Thur only) Language Preference * No preference English only Mandarin only Musical Experiences * No Yes If yes, please provide additional info. Questions / Remarks (if any)
