Music Request Form

Required

Name of pupilrequired

House (if known)

Form (if known)

Start Date?requiredPlease indicate which term you would like lessons to commence

Autumn Term

Spring Term

Summer Term

Please indicate which term you would like lessons to commence

Please arrange individual musical tuition for my son/daughter on the following: (If guitar is required please state either electric or acoustic).required

Second instrument/voice

Useful background information (e.g. how long your child has been learning their instrument or complete beginner, music exams passed, choir/ensemble experience etc) required

I understand that pupils in the Fourth Form and below have instrument lessons timetabled in academic times on a rotation basis. I will give a term’s notice in writing to the Director of Music for the discontinuation of lessons, otherwise that term’s fees will be charged in lieu.required

I have read and agree with the terms and conditions on this form

Your namerequired

Contact emailrequired

Date required

Must contain a date in D/M/YYYY format

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