Music Tuition Application Form

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Please complete the below form to apply for Instrumental Lessons. Please note that by doing so you are agreeing to the Terms and Conditions.

The school acts only as a facilitator in order to assign pupils to teachers and provide facilities for lessons. By signing this google form, you are agreeing to uphold these terms and conditions with the relevant peripatetic staff.

By acceptance of these terms and conditions, parents are also giving consent for their personal details to be shared with the relevant Visiting Music Teacher.

Surname of Pupil *

First name of Pupil *

Age *

Year Group *

Name of Parent(s) *

Parent Email *

Parents Address (as per the Terms and Conditions, details will be shared with Visiting Music Teachers) *

Tuition Request *

Instrument requested (or singing). Please note, all pupils should have access to an instrument at home for daily practice. The school has some instruments available for short term loan, which can be arranged by emailing the Performing Arts Administrator PAadministrator@brentwood.essex.sch.uk

Does your child have a preferred teacher? (Please leave blank if the answer is no)

Number of years' previous experience (or state beginner) *

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