Parent or Adult Student First Name * Last Name * Student full Name * Student birthdate * 2nd Student full name 2nd Student birthdate Email * Phone * Referring Person Name How did you find us? Google AdSchool NewsLocal SignageFriend ReferralMusic Teacher DirectoryFacebookTwitterKidspotYour ChildBubHubOther Your suburb : Your Choice Please Select your Instrument PianoGuitarViolinDrumsSingingFluteSaxophone Preferred Location Have you Started Learning or Playing already? No, I have not had lesson or played beforeYes bur only teaching myself for a short timeYes, I have had lessons or been playing for more than 6 months Do you already have an instrument? No, I don't have an instrument, I want to have the trial to decide whether its right for me.No, I need help getting an instrumentYes, I have my own instrument to bring to the assessment Please select All the Selection that you are available to attend an assesment/trial. Monday 12 - 3pmMonday 3 - 6pmMonday 6 - 8pmTuesday 12 - 3pmTuesday 3 - 6pmTuesday 6 - 8pmWednesday 12 - 3pmWednesday 3 - 6pmWednesday 6 - 8pmThursday 12 - 3pmThursday 3 - 6pmThursday 6 - 8pmFriday 12 - 3pmFriday 3 - 6pmFriday 6 - 8pmSaturday 8 - 12pmSaturday 12 - 5pmOther Time I am happy to receive Wendy's Learn to Play Newsletter, as I know I can unsubscribe anytime. What will Happen Next 1. You will be sent an email form us asking you to confirm your email address. If it does not appearin in your inbox within a short period of time, please check your JUNK MAIL 2. We will contact you by email with information about our teaching program and with the available assesment times that match your request as closely as possible.