www.KwanMusic.com

Group Class Registration

All fields marked by asterisk ( * ) are required.

REFERRAL INFORMATION

How did you hear about us?*
Please click HERE for the class Schedule

Class Type*:

Class Day* Class Time *	Starting Date*

STUDENT INFORMATION

Student's Last Name* First Name *	Birthday*

Gender*:
Male Female

FAMILY INFORMATION

Mother's Last Name* First Name*

Email address * Cell # *

Father's Last Name* First Name*

Email address * Cell # *

Home Address Line 1*

City* State*	Zip*

KWAN MUSIC STUDIO GROUP MUSIC AGREEMENT

* Enrollment on or after the first lesson, an additional registration fee of $25 is required.
• All fees are non-refundable. No make-up lessons. • Lesson time is 40 minutes for both Age 3-4 and 4-5; 45 minutes for Age 5-8. • Lessons that fall into public holidays will be skipped. • Each student must be accompanied by ONE adult at no additional fee, preferably the parent:
1. There is a $30 fee/lesson for an additional non-registered person who is not an adult. 2. The accompanied adult must turn off his electronic devices in class. Please don’t bring any work to the class as the parent is invited to have a “quality” time with his child. 3. No video recording is allowed in the class unless the teacher’s permission is given.

I give my permission for my child to participate in the music program in Diane Kwan Music Studio, and I authorize the studio personnel to take full charge in case of any emergency. I will not hold Diane Kwan Music Studio, any facilities that Diane Kwan Music Studio used for studio-related activities, staff members, or any helpers liable in case of the accident or injuries. I have read and agreed with the studio policies.

I AGREE TO ALL THE ABOVE

Enter Your Full Name*