DeMusique Studio

(93088)

No. 562 S/L 23 Lorong 1G, Taman Sri Moyan 2 Phase 3, Off Jalan Batu Kawa Matang, 93250 Kuching,
Sarawak.

016 875 5948 / 016 338 2522

demusique.sales@gmail.com

ENROLMENT FORM
PERSONAL INFORMATION
Name
Date of Birth

Gender

Age

Male

Female

Current School

Address

Tel

(h/p)

(house)

Email address
EMERGENCY CONTACTS
Name

Relationship

Contact Number

Previous Musical Education: YES NO. If yes please state instrument, length of study and previous teacher.
_______________________________________________________________________________________________________________________
NEW ENROLMENT
Instrument

Lesson Day

Lesson Time

Commence Grade

Lesson Length

1 hour

2 hours

1 hour

2 hours

DECLARATION
I understand that information provided above are true and correct and had fully understand the terms of lesson
being conducted. I also understand that music tuition fees shall be paid during first week of each month. A one
month notice will be served if I intended to stop lesson. In the event that I am not able to attend lesson I will notify
you at least one day in advance to allow replacement in the future.
_______________________________
Student / Parent / Guardian

__________________
Date