Student Name *

First Name

Last Name

Student Date of Birth *

MM

DD

YYYY

Does the student have any prior DJ experience? *

Yes

No

Guardian Name *

First Name

Last Name

Phone *

(###)

###

####

Alternative Contact Number

(###)

###

####

How would you best describe their area of determination? *

Neurodivergent

Visual Impairment

Hearing Impairment

Mobility or Physical Accessibility Needs

Speech or Communication Differences

Other

Would you like to share any learning preferences or specific needs to help us create the best experience for the student? *

Yes

No

Permission for Photos & Videos

Spin Music may take photos or videos during classes or events to capture special moments and showcase student progress. These may be used for promotional purposes on our website and social media.

I give permission for Spin Music to use photos/videos of the student for promotional purposes.

📌 Important Requirement: *

For an optimal learning experience, a parent, relative, or assistant is required to be present during each session. Their presence helps create a supportive and engaging environment, ensuring the student gets the most out of their private 1-on-1 learning journey.

I understand that a parent, relative, or assistant is required to be present during the sessions.

Confirmation *

I confirm that the information provided is accurate, and I agree to the Spin Music Terms & Conditions.