One-to-One Music Lesson Enquiry form
Enquiry form for all one-to-one tuition to be made on first contact with student
Email *
Student Full Name *
Date of birth (DD/MM/YYYY) *
Gender *
Instrument *
Required
Experience *
Have they had lessons before? *
Contact Name (relationship included) if under 18 years *
 Primary Contact Number *
Second Contact Number (just in case we are unable to get in contact with the Primary Number)
E-Mail Address
 *
I agree that I must give at least 48 hours notice before I cancel a lesson booking. If I am unable to give 48 hours notice, I agree that I will need to pay for the cancelled lesson the following week (If you have pre-paid a block of 4 lessons, the cancelled lesson will count as one of the prepaid lessons). I also understand that if the E Rooms needs to cancel a lesson booking, I will not be charged for the cancelled lesson.
 *
Where did you learn about our Music Lessons?
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