Refinery School of Music, Teachers

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1300 600 111

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Which applies to you?

New Student

Returning Student

Student name

Age

Date of birth

Address

Postcode

Parent/s name

Parent's mobile

Home phone

Work phone

Student mobile

Email contact

Does the student have any medical conditions we need to know about? If so pls provide details

Do you have Ambulance cover?

Yes

No

Previous training/where?

Which instrument/s are you enrolling in?

Vocal

Piano

Violin

Drums

Song-writing

.

Guitar

Bass Guitar

Band Jam

Musical Theatre

Audio Recording/Music Production

How did you find us?

Google

Friend

Social Media

Street Poster

Other

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