Keys to Fun® Adults Group Keyboarding Course Enrollment Form-Keystofunri

First name

Last name

Address

Phone Number

Email

How did you hear about Keys to Fun (check all that apply)

Have you ever studied Music?

Yes

No

If you answered, "Yes": What instrument did you study and for how long?

Do you own an instrument now?

Yes

No

If you answered, "Yes": What kind? (Check all that apply)

What brand and model?

Please give an example of song that you would like to learn:

What instrument would you like to play it on?

Keys to Fun® reserves the right to modify, suspend, terminate or deny lessons for any reason at any time, not withstanding prior enrollment in the Keys to Fun® program or any prior commitment to provide lessons. All materials (both printed and digital) are the intellectual property of Keys to Fun® (Registration Copyright #2123964) for the private use of our clients. Any use or dissemination of this material without the written consent of Keys to Fun® is prohibited.

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Your Signature

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Date

Please note: Payment is due in full by the end of the first lesson. No credits or refunds whatsoever will be issued after that date.

Keys to Fun® Adults Group Keyboarding Course Enrollment Form

Musical Background

Musical Interests