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Candidate Information

Please write the name as you would like it to appear on the certificate.

First Names *

Surname *

Date of Birth *

Teacher / Enroller Information

Title*

First Names *

Surname *

Address*

Suburb *

Postcode*

E-mail *

Phone *

Mobile

Exam Information

Grade or Performance

Instrument*

Grade Level*

L or R Handed (For Drums only)

Music Centre (Please select your preferred location)

Session

Total Fees: $0 NZD

Note:
If you have 10 or more students and would like your own venue to be used as a rockschool Music Centre please contact us on contact@rockschoolnz.co.nz.