JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
DoReMi Devon Music Classes
Form Update January 2024
Register for information and priority booking. Please fill in a separate for each child.
Anyone making contact for the first time through this form will receive an email from Rebecca to follow up your enquiry.
* Indicates required question
Email
*
Record my email address with my response
Name of child
Your answer
Current Age of Child
Your answer
Date of Birth
MM
/
DD
/
YYYY
Do they have any previous experience of music education? (This is not necessary)
E.g. attendance at any other music classes, learning an instrument etc.
Your answer
Name/s of siblings
To be eligible for sibling discount
Your answer
Name/s of Parent/Guardians
Your answer
Email Address
I will only use your email address for communications about DoReMi Devon Music classes
Your answer
Second Email Address
I will only use your email address for communications about DoReMi Devon Music classes
Your answer
Phone Number
Your answer
Second Phone Number
Your answer
Any known medical conditions or allergies
Your answer
Any other information we should know or you would like to share
Your answer
In the current online world, it makes a big difference to be able to share photos of what we do but we completely respect that there may be reasons you don't want your child included, or only in certain ways.
If you have given permission but a child doesn't want to be in a photo, that will also be respected.
Children will never be named on any publicity material.
Yes, I am happy for images of my child to be used for marketing and publicity purposes (No need to tick any other boxes)
I am happy for images of my child to be used if their face is not shown (e.g. from the back)
I am happy for images of my child to be used if their face is blurred or covered with a digital sticker
I am only happy for images of my child to be used as records to send to parents
I do not want any images of my child to be used for any purpose
Other:
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
