Salem Academy of Music Enrolment Form

SALEM ACADEMY OF MUSIC ENROLMENT FORM

PART 1 - PUPIL'S DETAILS

Surname First Name Middle Name

GenderFemaleMale

Date of Birth Name and Address of Current School Current Class Any previous experience of playing a musical instrument or singing? Please describe in details:

PART 2 - PARENTS' DETAILS

Parents' Names Address Telephone Numbers Email

PART 3 - YOUR ASPIRATIONS

Name of the instrument you will like to play

Do you have the instrument already?YesNo

If not, how will you be acquiring your instrument?I will be purchasing it myselfI will like the Academy to purchase it for me

PART 4 - DECLARATION

I hereby apply for admission into Salem Academy of Music for my child and agree to comply fully with the policies, rules and regulations of the Academy.Yes, I agree

Passport photograph No file chosen ID (NIN or Data Page of Passport) No file chosen