Songwriting Booking Form

Student's Name*
First Last
Age
Date of Birth*
Please note these courses are for 12 - 18 year olds
DD slash MM slash YYYY
Instruments played and to what level:*
Please list each instrument on a new line
Address*
Street Address City State Postcode
Paren't Name/s
First Last
Email
Parent's Mobile Phone
Student's Mobile Phone (15 and over)
Payment
The fee is $380. To secure your child’s place please make full payment over the phone via card (American express not available) OR make payment via EFT: Here are our banking details:
Account Name: Sydney Vocal Arts Centre
BSB: 012 217
Account Number : 643955556
- Yes I have paid
- No I have not paid, please send me an invoice
Receipt details/number
If you have already paid then please include the receipt number from your internet banking here