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RGS Music Lesson Application Form
Please complete the form below for your child to start instrumental or vocal lessons. For further information, please contact Michael Barker, Director of Music on
barkermr@ripongrammar.com
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* Indicates required question
Name of Student
*
Your answer
Student Form Group (Year if unknown, eg. 'New Year 7')
*
Your answer
Parent/Carer Name
*
Your answer
Email
*
Your answer
Is your child a boarder?
*
Weekly Boarder
Termly Boarder
No/Day Student
Telephone number
*
Your answer
Please Select the Instrument Required
*
Choose
Voice
Piano
Flute
Clarinet
Oboe
Bassoon
Saxophone - All types
Trumpet
French Horn/Tenor Horn
Trombone
Tuba
Violin
Viola
Cello
Double Bass
Drum Kit
Pitched Percussion
Guitar (Bass, Electric, Classical or Acoustic)
Other (Please contact Mr. Barker directly to enquire)
Has the student completed any grade exams?
*
Your answer
Does the student have their own instrument?
*
Yes
No
We would like to enquire about loaning one from school
What type of lesson do you require? (We only offer 1-1 lessons to maximise the impact of the lesson and provide greater pupil progress.)
*
Individual 20 minutes
Individual 30 minutes
Please check the box below to continue
*
I agree for my details to be passed on to the instrumental teacher or music service
Required
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