Fridays, Piano with Justina – Curl Curl onlyTuesdays, Guitar or Piano with Jasper – Balgowlah / Fairlight / SeaforthSaturdays, Vocal or Piano with Sahra – Mosman / SeaforthSunday afternoons, Piano with Oliver - Willoughby and surrounds

Child’s Name *

Child / Student Age *

Suburb *

Experience Level *

—Please choose an option—Absolute beginnerHave had six months tuitionHave had one year of tuitionAMEB preliminary levelGrade 1 AMEBGrade 2 AMEBGrade 3 AMEBGrade 4 AMEBGrade 5 or higher

Instrument Preference *

—Please choose an option—PianoFluteGuitarVocal

Time Preference *

—Please choose an option—Monday after schoolTuesday after schoolWednesday after schoolThursday after schoolFriday after schoolSunday afternoons

Parent / Guardian Name *

Contact Details *

Additional Notes (optional)