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Melosia Academy - Student Registration
Course Details
Name
*
Phone
*
Email
Birthday
*
Day
Month
Year
Gender
*
Male
Female
Prefer not to say
Which course are you interested in selecting?
*
Instrument (age 15 +)
Vocal Training (age 15+)
Junior - Recorder (age 10 - 14)
Primary - Recorder (age 5 - 9)
Do you wish to take an ABRSM Grade Exam?
*
Yes
No
Which Instrument Like to Learn Brass Family?
Trumpet
Trombone
Tuba
French Horn
Other
Which Instrument Like to Learn Woodwind family?
Flute
Clarinet
Alto Saxophone
Tenor Saxophone
Other
Which Instrument Like to Learn String family?
Violin
Viola
Cello
Double bass
Other
If you choose 'Other,' please specify the name of the instrument.
Register
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