Trial Class Registration

Please fill out the form below to register for a trial class. This registration will be stored in the program data system with automatic registration code generation.

Student Information

First Name *

Middle Name *

Last Name *

Nickname *

Place of Birth *

Date of Birth *

Age (auto)

Gender *

Address Name *

Address Street *

Parent/Guardian's Full Name *

Mobile Phone / Whatsapp *

Primary Email *

Selected Program

Piano Vocal Drum Kid Activities

Additional Information

Have you learned music before? *

Yes No, never

Please specify *

Purpose of joining the trial class *

Agreement

Trial Class Schedule: 04 - 29 November 2025

Venue: Euphony Atelier of Music and Development Center

Address: Rukan Grand Orchard Square, Block E No. 15, Kelapa Gading

Contact: 0851-21933851 / 0813-79370276

Email: euphonyatelier@gmail.com

I hereby register to participate in the Trial Class at Euphony Atelier of Music and Development Center and agree to comply with the applicable rules. By submitting this e-Form, it serves as valid proof or a substitute for a signature.

Date:

I agree to the terms above.

Note: Please arrive 10 minutes before the class starts. Trial duration is approximately 15–20 minutes.

Trial Class Registration

Student Information

Selected Program

Additional Information

Agreement

Search