Student Reg - New - Formstack

請填妥以下表格，TUTMusic 收到閣下的資料後，將會有專人與你聯絡跟進。

級數1

級數2

級數3

樂器

老師

請問你是家長/學生本人？*

我是本人我是家長

閣下的姓名:*

名字

姓氏

學生性別:*

男女

學生年齡:*

閣下希望的授課場地是：*

導師家中授課地區

美樂花園 (近屯門碼頭) / 海典軒 (近屯門市中心)

導師琴室授課地區

導師琴室不適用，請選擇其他授課場地。

導師實時視像教學

實時視象教學不適用，請選擇其他授課場地。

導師可上門授課地區

老師可上門授課的地區:

港島區

不適用上門授課，請選擇其他授課場地。

九龍區東

不適用上門授課，請選擇其他授課場地。

九龍區西

不適用上門授課，請選擇其他授課場地。

新界區東

不適用上門授課，請選擇其他授課場地。

新界區西

屯門

閣下的地址:*

*注意，導師有機會因應閣下的地址而收取上門附加費用。

請選擇課堂級數:*

每堂/45mins 費用(初級):*

每堂/60mins 費用(中級):*

每堂/60mins 費用(高級):*

導師適用的授課時間

Mon: 5pm - 10pm
Tue: 5pm - 10pm
Wed: 8am - 10pm
Fri: 8am - 10pm
Sat: 10am - 7pm

閣下適用的上課時段:*

閣下適用的上課時段:
	Sun	Mon	Tue	Wed	Thurs	Fri	Sat
8am-9am	閣下適用的上課時段:: 8am-9am (Sun)	8am-9am (Mon)	8am-9am (Tue)	8am-9am (Wed)	8am-9am (Thurs)	8am-9am (Fri)	8am-9am (Sat)
9am-10am	9am-10am (Sun)	9am-10am (Mon)	9am-10am (Tue)	9am-10am (Wed)	9am-10am (Thurs)	9am-10am (Fri)	9am-10am (Sat)
10am-11am	10am-11am (Sun)	10am-11am (Mon)	10am-11am (Tue)	10am-11am (Wed)	10am-11am (Thurs)	10am-11am (Fri)	10am-11am (Sat)
11am-12noon	11am-12noon (Sun)	11am-12noon (Mon)	11am-12noon (Tue)	11am-12noon (Wed)	11am-12noon (Thurs)	11am-12noon (Fri)	11am-12noon (Sat)
12noon-1pm	12noon-1pm (Sun)	12noon-1pm (Mon)	12noon-1pm (Tue)	12noon-1pm (Wed)	12noon-1pm (Thurs)	12noon-1pm (Fri)	12noon-1pm (Sat)
1pm-2pm	1pm-2pm (Sun)	1pm-2pm (Mon)	1pm-2pm (Tue)	1pm-2pm (Wed)	1pm-2pm (Thurs)	1pm-2pm (Fri)	1pm-2pm (Sat)
2pm-3pm	2pm-3pm (Sun)	2pm-3pm (Mon)	2pm-3pm (Tue)	2pm-3pm (Wed)	2pm-3pm (Thurs)	2pm-3pm (Fri)	2pm-3pm (Sat)
3pm-4pm	3pm-4pm (Sun)	3pm-4pm (Mon)	3pm-4pm (Tue)	3pm-4pm (Wed)	3pm-4pm (Thurs)	3pm-4pm (Fri)	3pm-4pm (Sat)
4pm-5pm	4pm-5pm (Sun)	4pm-5pm (Mon)	4pm-5pm (Tue)	4pm-5pm (Wed)	4pm-5pm (Thurs)	4pm-5pm (Fri)	4pm-5pm (Sat)
5pm-6pm	5pm-6pm (Sun)	5pm-6pm (Mon)	5pm-6pm (Tue)	5pm-6pm (Wed)	5pm-6pm (Thurs)	5pm-6pm (Fri)	5pm-6pm (Sat)
6pm-7pm	6pm-7pm (Sun)	6pm-7pm (Mon)	6pm-7pm (Tue)	6pm-7pm (Wed)	6pm-7pm (Thurs)	6pm-7pm (Fri)	6pm-7pm (Sat)
7pm-8pm	7pm-8pm (Sun)	7pm-8pm (Mon)	7pm-8pm (Tue)	7pm-8pm (Wed)	7pm-8pm (Thurs)	7pm-8pm (Fri)	7pm-8pm (Sat)
8pm-9pm	8pm-9pm (Sun)	8pm-9pm (Mon)	8pm-9pm (Tue)	8pm-9pm (Wed)	8pm-9pm (Thurs)	8pm-9pm (Fri)	8pm-9pm (Sat)
9pm-10pm	9pm-10pm (Sun)	9pm-10pm (Mon)	9pm-10pm (Tue)	9pm-10pm (Wed)	9pm-10pm (Thurs)	9pm-10pm (Fri)	9pm-10pm (Sat)

*因導師課堂緊密，請盡量填寫可以上課的時段以便安排。

聯絡電話:*

聯絡電郵:*

還有什麼想讓我們知道?

閣下提交的資料總結

閣下已選擇的老師: {$61108240 老師}

閣下已選擇的樂器: {$61108239 樂器}

閣下的姓名: {$61108242 閣下的姓名:}

你是家長/學生本人？ {$61108241 請問你是家長/學生本人？}

學員性別: {$61108243 學員性別:}

學員年齡: {$61108244 學員年齡:}

閣下希望的授課地點是：{$61108245 閣下希望的授課地點是：} {$61108246 閣下的地址:} {$88466205 ‪導師實時視象教學‬}

課堂級數: {$61108247 請選擇課堂級數:}

每堂費用: {$61108248 每堂/45mins 費用(初級):} {$61108249 每堂/60mins 費用(中級):} {$61108250 每堂/60mins 費用(高級):}

聯絡電話: {$61108252 聯絡電話:}

聯絡電郵: {$61108253 聯絡電郵:}