Instrumental Lesson Application

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Use this form to register an interest in having instrumental music lessons at Wheatley Park

Email *

Student Name and Tutor Group *

Parent/Carer Contact Name *

Home Address *

Parent/Carer Mobile Number *

Parent/Carer Email Address *

What instrument do you want to learn? *

Are your current lessons with a County Music Teacher *

Do you already have lessons in this instrument? If so, what is the name of your current teacher? *

Have you taken exams on this instrument? If so, please give details. *

Do you wish to work towards grade exams on your instrument? *

Definitely yes

Definitely no

No strong feelings

Can you already read music? *

Yes

I would like my son/daughter to have instrumental lessons at Wheatley Park School. I understand that lessons will be charged at the rate of approximately £15-20 per 30-minute lesson (individual) or £10-12 per lesson (paired lesson subject to availability) and agree to pay fees promptly when they are invoiced. I understand that lessons will be covered by a contract, which will be issued when lessons start and that by carrying on with lessons, I am agreeing to the terms of the contract. *

I understand and consent.

Required

A copy of your responses will be emailed to the address you provided.

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