Lirico Music School
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| Student Name * |
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| Address * |
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| Email * |
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Confirm Email * |
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Date Of Birth * |
DD | / |
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YYYY |
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| Sex * |
Male Female |
| Phone * |
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| Mobile * |
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| Race |
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| Language Spoken * |
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| Nationality |
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| IF STUDENT IS BELOW 18 YEARS OLD, PLEASE FILL IN :- |
| Parent's / Guardian's Name |
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| NRIC / Birth Certs |
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| Mobile |
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| Phone |
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| Email |
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| Confirm Email |
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(A) Please register me for the following Kindermusik Class Newborn to 7 years:- |
| Kindermusik Curricula |
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(B) Please register me for the following Music Lessons (6years old & above):-
** Guitar Class ~ 9years old and above** |
| Course Title (Private Music Lessons) |
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| Day & Time Preferred |
eg. Monday 5:00pm
**(subject to availability) |
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We will contact you within 24 to 48 working hours after your submission. Thank You.
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