Grade 6 Full Course Registration Form

There are three ways of registering:

a) Print the form, fill it out, then scan it and email it to bruce@mediantstudies.co.nz.

b) Fill in the form in Microsoft Word, save it, and email it to bruce@mediantstudies.co.nz

c) Copy it and paste it into an email, add the details, and send it to bruce@mediantstudies.co.nz.

Mr/Mrs/Miss/Ms ………………………………………………… Phone: …...…………..……….

Please underline your family name.

Address: ……….……………………..………………………………..……………………..…….……

……….………………………………….. Email address: ……………………………………………

Descriptions and samples of all material are on the website or can be sent by email. (To take only part of the course, download the “part of the course” registration form from the Grade 6 Registration webpage.)

Included in the course are topics (particularly related to history and style) not covered in the Royal Schools grade 6 workbook which students need to know for questions 4 and 5 in the examination.

As a special offer, the whole course can be taken for a total of only $239.

You may need to add transaction fees to the total, depending on whether you are in New Zealand and which method of payment you choose. There are no transaction fees for Paypal transactions of this amount, or for payments by electronic banking within New Zealand Please consult the webpage about course fees and payments, and contact us if you need more information.

Total fee: $NZ…..

If paying by Paypal (www.paypal.com), please give the name and email address you use on Paypal 2.

Name:……………………………………….……… Email: ……………….……………….…………

2 You will be sent an invoice when the registration form is received.

Do you want files be sent as zip files? (They will then arrive more quickly) Yes / No

If you would like to attempt an assignment again and have the second attempt marked, there is a fee of $10 per assignment.

All sections have exam-type assignments. When you have done these, you may if you wish send in answers to past papers since 2012. The fee for marking these is $16 per question, $70 per paper. Alternatively, you can order sets of past papers and sets of model answers from Piano Traders in Auckland or ABRSM in the United Kingdom.

If you are a performer, what is your main instrument (or voice)? ……………………………..

If you have passed exams which include music theory, please state which was the last, and when you passed it: Exam: …………………………………….. Date: ………………………

Cross out what does not apply:

I want / I do not want / I am not sure whether to sit the examination.

If you are planning to sit the examination, please indicate when you plan to sit it:

………………….…

By sending in this form, you are indicating that you have read and understood the regulations,

(Date (DD/MM/YY): …. / …. / …….)