Please complete the form below, and you will receive a welcome email with all the info you’ll need. If you have more than two children that you would like to enrol, please give our Goodtime team a call on 04 568 2237 or email info@gtma.co.nz Parents/Caregiver/Customer Name * First Name Last Name Phone number * Email address * Parents/Caregiver/Customer physical address * Address 1 Address 2 City State/Province Zip/Postal Code Country Second Contact * First Name Last Name Second Contact Email * Second Contact Phone Number Preferred Payment Method * Pay $75 a month or $225 a term. You choose!! Monthly $75 Termly $225 Childs name * First Name Last Name Childs gender * Male Female Unspecified What is the date of birth of the student you are signing up? * MM DD YYYY What instrument would they like to play? * Intro to music Ukulele Drums Guitar (From 8 years old) Keyboard Bass Guitar (Maidstone Intermediate Only) If your first instrument choice is unavailable, what would your second choice be? Ukulele Drums Keyboard Guitar (8 years and above) Intro to music Bass Guitar (Maidstone Intermediate Only) School * Adventure School Berhampore School Bellevue School Belmont School Birchville School Boulcott School Churton Park School Clyde Quay School Crofton Downs School Eastern Hutt School Fraser Crescent School Hampton Hill School Hutt Central School Johnsonville School Kelson School Khandallah School Maranatha Christian School Maidstone Intermediate School Maungaraki School Miramar Christian School Newlands School Ngaio School Northland School Our Lady of Rosary School Otari School Papakowhai School Paparangi School Postgate School Rewa Rewa School Ridgway School Sacred Heart Thorndon Silverstream School St Brendan’s School St Theresa’s School St. Joseph’s School Tawhai School Te Ara Whanui Kaupapa Maori Totara Park School Thorndon School Trentham School Upper Hutt School Wainuiomata School Waterloo School West Park School Wilford School Year level at school * Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Class number at school * Please advise of any medical conditions or special requests 2nd Child's name First Name Last Name 2nd Child's gender Not Selected Male Female Unspecified What is the date of birth of the student you are signing up? MM DD YYYY What instrument would they like to play? Not selected Intro to music Ukulele Drums Guitar (From 8 years old) Keyboard Bass Guitar (Maidstone Intermediate Only) If your first instrument choice is unavailable, what would your second choice be? Ukulele Drums Guitar (8 years and above) Keyboard Intro to music Bass Guitar (Maidstone Intermediate Only) 2nd Child's school Adventure School Berhampore School Bellevue School Belmont School Birchville School Boulcott School Churton Park School Clyde Quay School Crofton Downs School Eastern Hutt School Fraser Crescent School Hampton Hill School Hutt Central School Johnsonville School Kelson School Khandallah School Maranatha Christian School Maidstone Intermediate School Maungaraki School Miramar Christian School Newlands School Ngaio School Northland School Our Lady of Rosary School Otari School Papakowhai School Paparangi School Postgate School Rewa Rewa School Ridgway School Sacred Heart Thorndon Silverstream School St Brendan’s School St Theresa’s School St. Joseph’s School Tawhai School Te Ara Whanui Kaupapa Maori Totara Park School Titahi Bay School Thorndon School Trentham School Upper Hutt School Waterloo School West Park School Wilford School 2nd Child's year level at school Not selected Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 2nd Child's class number at school Please advise of any medical conditions or special requests If you have a promotional code, please enter below Please accept our Terms & Conditions * By ticking the box below, you are accepting our Terms & Conditions. To read our full Terms & Conditions please visit: https://www.goodtimemusicacademy.co.nz/terms-conditions Accept Now we can start jamming! Thanks for your enrolment. We’ve sent you a welcome email with all the info you’ll need. We’ll also call you to confirm a day and time for your child’s lessons.- The team at Goodtime Music Academy
