Application for enrolment for one-to-one lessons

To join us at the Open Music Academy, please fill out the below form. If you have any questions, please contact us.

Student's personal details

Given / first name

Family / surname / last name

Date of birth

Student's gender

What is the main language spoken at home?

Are you of Aboriginal and/or Torres Strait Islander origin?

Parent or caregiver's details

Parent or caregiver's full name

Parent or caregiver's mobile/phone number

Postal address

Parent or caregiver's email address

Student's academic background

Student's current school

Student's year level at school

What do you want to achieve through one-to-one music lessons?

If the student has completed any AMEB examinations or similar, please specify the highest level attained

Attach files if applicable

One file only.
20 MB limit.
Allowed types: jpg, png, pdf, doc.

Attach files if applicable

One file only.
20 MB limit.
Allowed types: jpg, png, pdf, doc.

Lesson length

Beginner - 30 minutes

Intermediate - 45 minutes

Advanced - 60 minutes

Student's time availability (Saturday am/pm or Sunday am/pm)

Agreement

I/We agree to the payment of the fees associated with the above mentioned program.

I am over the age of 18 or I have sought permission from a parent/guardian