Portobello Music School Online Registration

Registration

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Welcome to Portobello Music School enrol page. Enrolment is open for the new term starting on Saturday 2nd September.

* denotes required fields

Referral Information

How did you hear about us?*

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

Postcode*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

Work #

Cell # Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Current Instrumental Class

Teacher

Instrument Level

Please click on the Select Class button to see a list of available classes . Only eligible classes based on your child's age will be displayed. Fees are based on monthly payment amounts.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Current Instrumental Class

Teacher

Instrument Level

Please click on the Select Class button to see a list of available classes . Only eligible classes based on your child's age will be displayed. Fees are based on monthly payment amounts.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Current Instrumental Class

Teacher

Instrument Level

Please click on the Select Class button to see a list of available classes . Only eligible classes based on your child's age will be displayed. Fees are based on monthly payment amounts.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Current Instrumental Class

Teacher

Instrument Level

Please click on the Select Class button to see a list of available classes . Only eligible classes based on your child's age will be displayed. Fees are based on monthly payment amounts.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

Special Needs (Leave blank if NONE)

Current Instrumental Class

Teacher

Instrument Level

Please click on the Select Class button to see a list of available classes . Only eligible classes based on your child's age will be displayed. Fees are based on monthly payment amounts.

Enroll in Classes

Select Class

Add Another Student

Required Policies

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Questions or Concerns

Comments

Payment Information

Account Information

Payment frequency*

Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

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