Summer Classes Form

Student Gender:
MaleFemale

Student Surname (required)

Student Name (required)

Student Date of Birth (required)

Student Fathers Name (required)

Student Mother Name (required)

Student Phone Number (required)

Parent/Guardian Phone Number (required)

Student Address (required)

Student Post Code (required)

Your Email (required)

I am interested in: (required)
Classical PianoModern PianoClassical GuitarElectric GuitarAcoustic GuitarSingingElectric BassUkeleleDrumsMusic Theory(Greek System)Music TheoryHistory of MusicArrangingSolfege/DicteeOther

Other (If applicable)

Please note whether the student has a condition that we need to be aware of(If applicable)

Please note if there the student has learning problems and clarify(if applicable)

With my signature, I agree to include the registered student in any publication and/or other productions, which aim to promote Potenzia del’ arte, without any demand.
I accept all terms and conditions of the school.
We will review your request and communicate with you. For group classes please make sure you have seen the program by clicking here.