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Musical Instrument Lesson Application Form

By completing this form, you are confirming your interest for your child, to learn to play a musical instrument. Please indicate using the radio buttons below which instrument your child would like to learn, and advise if you need to hire an instrument from the school. Please confirm that you are happy in line with GDPR, for the school to share your contact details with the peripatetic teacher, so that payment and lesson times can be arranged with you.

My child attends*
In September 2023 my child will be in:
My child would like to learn (Click into the required radio button if you want your child to learn more than one instrument, please submit a second form)
I need to hire this instrument from the school (leave blank or click the required radio button). Other instruments can be hired or purchased from local shops.
I understand that to achieve the maximum progression, my child should have an instrument at home that they can practice on.*
My child is in receipt of Pupil Premium, Free School Meals and I would like to use the PP allowance to pay towards the cost.
In line with GDPR legislation, I agree to my data being shared with the instrumental teacher so that payment and details can be arranged. The school do not manage the bookings and payments, therefore if you wish to proceed, data will need to be shared.*
I have read and agree with the full terms and conditions of the Instrument contract which is displayed on this page of the website.*
I agree to a one year contract and understand that if I wish to stop I will give half a term's notice.*