Pre-registration Form

Please call Bentley Music Academy at 03-7727 3333, or submit the form below for pre-registration.

     
Required fields*
 
  Name*:
  Gender*:
  Age*:
  Address:
  City:
  State:
  Postcode:
  Email*:
  Home Phone:
  Cell Phone*:
     
  Instrument Played (current if any)
  Grade
     
  I am interested in learning the following:
  Private Instrumental Lessons (Please Select)
  Strings
  Piano
  Woodwind
  Brass
  Vocal
  Theory
  Rock School
     
  Group Classes
  Music Classes
  Ensembles
     
   

  Please note:

1) For all students taking private classical lessons, one additional group theory class per month is mandatory.
    2) All fees are payable termly in advance.
    3) Upon confirmation of acceptance, a non-refundable registration fee of RM75 for private lessons and RM50 for group lessons is required.

    4) All students registering for private lessons will be given a free assessment prior to their first lesson.

    5) Registration for lessons with the Principal, Heads of Sections or Senior Teachers will be by audition/aptitude test only. The Principal, Head of Section or Senior Teachers' decision on acceptance is final.