Phone: 0425 781 893 | Email: crystalvalleymusic@gmail.com

| Providing Music Tuition in Schools Since 1999

Enroll in a Music Program

Parent/Guardian Name (required)

Your Email (required)

Preferred Phone (required)

Student Name (required)

Program of Interest

Student School Grade Level (required)

School Name (required)

Class Teacher's Name (required)

Student Requires Hire Instrument? (required)

Parent Consents to Student Being Photographed for Promotional Purposes? (required)

I Have Read and Understood the Terms and Conditions (See Program Descriptions)