Enrolment at Christchurch Music Academy

Nurturing musical development

Please submit a separate form for each child you wish to enrol. All fields marked * are required.

Parent/Caregiver Details (required if student is under 18)

Address Details

Street No Street Name

Suburb

Postal Code

Contact Details

Home Phone*

Mobile phone

In making this enquiry, I accept the Christchurch Music Academy
terms and conditions.

Student"s Details

First Name

Last Name

Date of birth*

Gender* Male Female

Is your student a beginner?* Yes No

Not all classes are available at all locations.

Location*

Class Code*

Please state your preferred class time & day.

How did you first hear about Christchurch Music Academy?*

If you heard about us from a friend please let us know their name so they can get their referral discount!

Security: Security Code