Online Registration for instrumental/vocal or group lessons

I would like to register for the following instrument/course:*

(Ningependa kujisajili kwa ajili ya vifaa vifuatavyo/kozi:)

If your instrument is not found above please add it here

(Kama chombo chako hakipo kati ya hivyo hapo juu tafadhali kitaje hapa chini)

Course Name*

(Kozi)

Course Type*

(Aina ya kozi)

Length of Lesson*

(Muda kwa kila kipindi)

Name (Jina)*

First Last

Gender*

(Jinsia)

Address*

(Anuani/unakokaa)

Email*

(Barua pepe)

Telephone number*

(Namba ya simu)

Date of Birth*

(Mwaka wa kuzaliwa)

DD

MM

YYYY

Legal Guardian (if you are unders 18 years of age)

Mlezi kama una miaka chini ya 18

Your message to us

(Ujumbe wako kwetu)

* = must be filled in (ni lazima ijazwe)

Comments

This field is for validation purposes and should be left unchanged.