ENROL FORM 2019

ENROLMENT
REQUEST FORM

Now that your child has attended a Free Trial Lesson, you can request a spot in one of our classes.

Email or give us a call
info@gekomusic.com.au
PHONE +61 2 9011 7072

* Indicates required field

Name Authorised Adult Making Enquiry *

First

Last

Email *

Mobile Phone Number *

Child's Name *

First

Last

Child's School Year *

Choose your instrument *

YOUR MESSAGE HERE *

Thank you for requesting a spot for your child
We will contact you soon.

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