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LEGAL CONTRACT FOR MEMBERSHIP BETWEEN MUSIC STUDENT OR PARENT AND ABOVE MENTIONED.
Student Name
Age
Address
*
Please fill the required field.
Learning Disability (if any)
Parent / Guardian
Occupation
Student ID Nr
Parent ID Nr
Address
*
Please fill the required field.
Contact Home
*
Please fill the required field.
Contact Work
*
Please fill the required field.
Cell Nr
*
Please fill the required field.
Payment Date
*
Please fill the required field.
Lesson Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Lesson Times (From when to when)
Instrument Choice
Piano
Violin
Guitar
Saxophone
PHA+PHN0cm9uZz5Gcm9tOjwvc3Ryb25nPnt7Zmlyc3QtbmFtZX19IHt7bGFzdC1uYW1lfX08L3A+CjxwPjxzdHJvbmc+RW1haWw6PC9zdHJvbmc+e3tlbWFpbH19PC9wPgo8cD48c3Ryb25nPlN1YmplY3Q6PC9zdHJvbmc+e3tzdWJqZWN0fX08L3A+CjxwPjxzdHJvbmc+TWVzc2FnZTo8L3N0cm9uZz57e21lc3NhZ2V9fTwvcD4=
3 + 4 = ?
I agree with the
Terms of Use
and I declare that I have read the information that is required in accordance with the Pandoras Box of Hope legal contract between music teacher and student
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