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MUSIC LESSONS WORKSHOP PAINTING WORKSHOP

Course: ______________ STUDENTS INFORMATION:

STUDENTS INFORMATION: Name: ________________________ Nickname:_______


School: ________________ Grade: ______ Age: _______
Name: ________________________ Nickname:_______ Address: _______________________________________
School: ________________ Grade: ______ Age: _______ Phone no.: __________Cellphone no:________________
Address: _______________________________________ Email address: __________________________________
Phone no.: __________Cellphone no:_______________
Email address: _________________________________
ART EXPERIENCE:
MUSICAL EXPERIENCE:
Instruments that you can play? _________________ I am good at ___ painting __ drawing __ sketching___
How long? _______ Grade/Level: _______________ ___ coloring ___ portrait ___ (Pls check )
Are you taking Voice Lessons? Yes ___ or No___ Did you take up Art Lessons? Yes ___ or No___
How long? _______
How long? _______ What medium did you use?
Do you have any theatre experience? Yes ___or No___
___ acrylic ___ oil paint ____ crayons ____oil pastel
What production? ______________________________
___ colored pencil ___ marker _____ballpen ___ pencil
What role: ____________________________________
___ others (Please specify)
Are you taking dance lessons? Yes ___ or No___
What type of dance?___________________________ Do you have art contest experience? Yes ___or No___
How long? ________ What competition did you join?
Instruments you have at home:__________________ ______________________________________________

PARENTS’ INFORMATION:
Father’s Name : ________________________________ PARENTS’ INFORMATION:
Contact No: ______________Email add.:____________ Father’s Name : ________________________________
Mother’s Name: _______________________________ Contact No: ______________Email add.:____________
Contact No:_______________ Email add.:___________ Mother’s Name: _______________________________
Guardians Name: _______________________________ Contact No:_______________ Email add.:___________
Contact No: ______________ Email address: _________ Guardians Name: _______________________________
Contact No: ______________ Email address: _________

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