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Music Tuition Request Form

Please complete the below form to request instrumental or vocal tuition.

Peripatetic lessons are an additional cost and will be billed directly by the external music teacher.

Your child's first name(Required)

Your child's last name(Required)

Child's year group and class(Required)

Please select an instrument:(Required)

If your child would like to learn a second instrument, please select an option below:

Name of preferred teacher (if known):

Provide details of previous experience (level/grade obtained):(Required)

Provide any additional information for the teacher (e.g. the reason they would like to start learning this instrument, or whether they would like to work towards grade exams):(Required)

Commencement of lessons:(Required)

As soon as possible

Start of Michaelmas Term

Start of Lent Term

Start of Summer Term

First name of parent(Required)

Last name of parent(Required)

Parent email:(Required)

Date

I consent to the details above (including my name and email address) being passed onto the relevant peripatetic teacher:(Required)

Yes, I consent

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