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Application Form

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Please use this form to apply to join our centres
If you would like a paper or email version please contact us

Please note, if you are applying for INSTRUMENTAL lessons it is unlikely we will be able to offer you lessons to start in September 2010, you will be added to a waiting list and contacted once spaces become available, you will not need to contact the office before this time.

Contact Details
Please imput dd/mm/yyyy
Please include area code
Emergency Contact No.
Email
eg SE11 5LG
 
Please choose from Instrumental, Ensemble/Band/Choir and General Music (or a combination)

Instrumental Lesson Request (£50 per term)(£18 per term if you receive Free School Meals)

Let us know what lessons your child is interested in
(Lesson times are confirmed once you have applied)
If you child has experience already please indicate using the drop down boxes
Second Choice (OPTIONAL)

If your child already plays an instrument please give further details here if necessary (eg Grades taken etc)

Ensemble/Band/Choir Request (£30 per term)
(£10 per term if you receive Free School Meals)

Let us know what ensembles your child is interested in (times are confirmed once you have applied)
Ensemble 2 OPTIONAL

Im not sure, please advise!

General Music Classes (£30 per term)
(£10 per term if you receive Free School Meals)

Let us know what general lessons your child is interested in (times are confirmed once you have applied)
General Class 2 OPTIONAL

Im not sure, please advise!

 
Additional Details
Does your child have any medical conditions/or allergies we need to be aware of?
Does your child have Special Educational Needs? (please give details)
Any other details we should know?
Going home details (who will be taking your child to/from the centre, please give as much info as needed)
 
Please read the following:
I give permission for my child to be photographed/filmed for publicity/archive purposes
I agree to the £5 administration fee (charged on joining) and Centre fees
I wish to apply for a concession as my child has Free School Meals
I have read and accepted the Terms and Condidtions
Thank you for completing this form, click submit to complete your application
Join email news letter:
 

 

 

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