Pupil Name
*
Year Group
Please select...
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
School start date
*
Term for lessons to start: please choose from
*
Autumn Term (September)
Spring Term (January)
Summer Term (April)
Pupil Status
*
Day Pupil
Boarding Pupil
Level of expertise
Beginner
Not beginner
If your child has played or has been playing for a number of years, give details of approximate standard
Instruments requested
*
Piano
Guitar
Electric/Bass Guitar
Voice
Flute
Clarinet
Trumpet
Trombone
French Horn
Tuba
Euphonium
Drum Kit/Percussion
Double Bass
Violin
Viola
Cello
Saxophone
I/ We require Instrument hire and acknowledge the following costs:
General instrument- £40.00
Acoustic Guitar- £15.00
*
Yes
No
I/We agree acknowledge that lessons are individual and have a duration of 30 minutes.
10 lessons per term
TOTAL cost of lessons £255.00 per term
Occasionally shared lessons are available please contact the music department for more information on this
*
Yes
No
I/We acknowledge the terms and conditions as outlined in the information detailed within the Joining Pack
*
Yes
No
Email address of parent / guardian completing this form.
*
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