Pre-registration Form
Please call Bentley Music Academy at 03-7727 3333, or submit the form below for pre-registration.
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Required fields*
Name*:
Gender*:
- Select -
Male
Female
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
- Select -
Violin
Viola
Cello
Double Bass
Classical Guitar
Harp
Piano
- Select -
Classical
Jazz
Woodwind
- Select -
Flute
Clarinet
Saxophone
Oboe
Bassoon
Brass
- Select -
Trumpet
French Horn
Trombone
Tuba
Vocal
- Select -
Classical Singing
Jazz/Pop
Theory
- Select -
Music Theory
Harmony & Composition
Conducting
Rock School
- Select -
Electric Guitar
Electric Bass
Drums & Percussions
Keyboards
Acoustic Guitar
Percussion
- Select -
Orchestral Percussion
Group Classes
Musikgarten
Music Classes
- Select -
Keyboards
Music Technology
Music Theory
Music Appreciation / History
Senior Orchestra
Senior Choir
Hands On Percussion
Big Band
Wind Band
Guitar Choir
Rock Clinics
Ensembles
- Select -
Senior Orchestra
Senior Choir
Wind Band
Big Band
Junior Orchestra
Socially Vocal
Please note:
1) All students registering for private lessons will be given a free assessment prior to their first lesson.
2) 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.
3) Upon confirmation of acceptance, a non-refundable registration fee of RM75 for private lessons and RM50 for group lessons is required.
4) All fees are payable termly in advance.