Enrolment Form for Adults - Weekly Music Program


Adults Piano Lessons

Please complete our online Enrolment Form below. Alternatively, download and complete it, then post to CHARTERIS MUSIC SCHOOL, PO BOX 1398, CAMBERWELL VIC 3124.

We will get back to you by email within 2 business days (so please check your email regularly).

Tell us your preferred time and day for your lessons. We will try our best to give you your top choice but it can't be guaranteed. Due to the popularity of these classes, preference for times and days will be given in a strict priority order, according to receipt of registration fee for this program.



A. STUDENT'S DETAILS

Surname:   Given Name:
Sex:  Male   Female
Age:  I am over 18 years old.
If the student is under 18, please use the Children's Enrolment Form.

Your home address:
Number and Street:
Suburb: Postcode:
Your email address:  
Your landline phone number:
Your mobile phone number:

IS THERE ANY MEDICAL CONDITION OR OTHER CIRCUMSTANCE OF WHICH YOU WOULD LIKE THE SCHOOL TO BE AWARE?  Yes   No

If Yes, please give details here:
Previous music experience:  Yes   No     If Yes, number of years:
Which instrument/s?
Name of current music book:

Location of previous music lessons:
At music school   At home of teacher   At student's home


B. PREFERENCES SELECTION

POSITIONS ARE CURRENTLY AVAILABLE AT:
  • Camberwell Uniting Church (Monday, Tuesday, Wednesday & Saturday)
    314 Camberwell Road, Camberwell, VIC 3124
  • Mount Waverley - High Street Road Uniting Church (Monday & Thursday)
    482 High Street Road, Mount Waverley, VIC 3149
  • Hampton Uniting Church (Wednesday)
    17 Service Street, Hampton, VIC 3188
  • Ringwood Uniting Church & other locations - Please email us.

If you would like other days, please email us here to let us know.


SELECT YOUR PREFERENCES: (Each music class is half-an-hour and occurs weekly. Please check/tick [ ] one or more time-blocks during which time you are free and available to attend your half-hour class.)

PLEASE [] TIME-BLOCKS
Camberwell, Monday 3:45pm - 4:15pm
Camberwell, Monday 4:15pm - 6:15pm
Camberwell, Tuesday 3:45pm - 4:15pm
Camberwell, Tuesday 4:15pm - 6:15pm
Camberwell, Wednesday 3:45pm - 6:15pm
Camberwell, Friday 3:45pm - 6:15pm
Camberwell, Saturday 9:00am - 12:30pm
Camberwell, Saturday 12:30pm - 2:00pm
Mount Waverley, Thursday 4:00pm - 6:00pm
Mount Waverley, Saturday 12:00 noon - 1:00pm
Hampton, Wednesday 4:00pm - 6:00pm

Where did you hear about us?:

Other comments:


C. AGREEMENT TO TERMS & CONDITIONS

We provide our music programs based on the Terms and Conditions of Charteris Music School. Please take a moment to read them here. Clicking the 'Send' button below or forwarding a hardcopy version of the Charteris Music School enrolment form indicates that you would like to participate in our Music Program and that you understand and agree with Charteris Music School Terms and Conditions.
Tick here to agree to the Terms and Conditions of Charteris Music School.


D. WHAT HAPPENS NEXT?

Once you click ‘Send’, we will reply within 2 business days (so please check your email regularly). If you have not received a reply from us after 2 business days, please contact us here.

When we reply, we will confirm your enrolment, and forward our EFT details for your once-off $120 registration fee payment. This registration fee enables us to start grouping and scheduling based on your time, day and location preferences.

Preference for times and days will be given in a strict priority order, according to receipt of this registration fee. All fees must be paid in full 7 days before your first lesson.

E. SPAM CHECK: 2 + 3 =  
(so that we know you are not a computer robot)

Please click the 'Send' button below to enrol now.