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We Respect. We are Proud. We Succeed.

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MUSIC

Peripatetic Tuition Application Form

*Please note that all fields are required and protected by GDPR

1. Please confirm you have read through our policies, terms and conditions, and procedures on how to apply for Music Tuition.

Yes

2. Provide Child's Full Name

3. Select Year Group

4.Tutor Group e.g. 7N MF

5.Email address for correspondence

6.Mobile Number

7. Does your child receive any of the following? They will be entitled to a free shared lesson in one instrument of their choice, plus free instrument hire.

Free School Meals

Pupil Premium Funding

NHS Tax Credit Exemption Certificate*

Select File (15MB max)

None of the above, I require Individual lessons - £115 per term

None of the above, I require Shared lessons - £57.50 per term

*If selected you are required to upload a photograph or scan of your up-to-date certificate.

8. First Instrument

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