Vocal Coach Enrolment - MISS ROSIE CREATIVE // SINGER, DJ + MC // VOCAL COACH // MELBOURNE

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Student Details

* Indicates required field

Student Full Name *

Student Address *

Student Age *

Student Date of Birth *

Student Gender *

Email *

Phone *

Parent / Guardian (1) (under 18)

Parent / Guardian (1) Full Name *

Parent / Guardian (1) Phone *

Parent / Guardian (1) Email *

Parent / Guardian (2) (under 18)

Parent / Guardian (2) Full Name *

Parent / Guardian (2) Phone *

Parent / Guardian (2) Email *

Emergency Contact (over 18)

Emergency Contact Name + Mobile *

Emergency Contact Relation *

Previous Experience

Does the student have any previous music and/or performing arts experience? *

Prior experience *

Medical

Does the student suffer from any medical illness or condition? *

Please specify *

Studio Location

please select *

Cranbourne Ferntree Gully

Lesson Schedule

what is your preferred lesson day? *

Cranbourne Studio // Monday Cranbourne Studio // Wednesday Ferntree Gully Studio // Sunday

what are your preferred lesson time/s? *

2.00pm (Ferntree Gully only) 2.30pm (Ferntree Gully only) 3.00pm (Ferntree Gully only) 3.30pm (Ferntree Gully only) 4.00pm 4.30pm 5.00pm 5.30pm 6.00pm 6.30pm 7.00pm 7.30pm 8.00pm 8.30pm

Media Consent

Do you consent to professional photography / videography use by Miss Rosie Creative? *

Please specify *

Terms and Conditions

Acknowledgement of Terms + Conditions *

Submit

@missrosiecreative

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Melbourne, Australia

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MELBOURNE
WEDDING + EVENT
ENTERTAINMENT