Music Lesson Enrolement Email Student full name Date of birth Gender If Student/ Class at school Adress Child’s parent name Child’s parent name Child’s parent name Child’s parent name Best contact number for communication Any allergies or medical note needed for during lesson times Previous instrumental experience Please select which instrument/type of lesson you wish to enrol Terms and Conditions of enrolment Terms and Conditions of enrolment I agree to practise/encourage my child regularly during the week and understand that this is a vital part of their progress on the instrument. I will have a proper instrument or provide for my child to practise on during the week. I agree to fallow the role of the music lesson and respect the teacher and each student. I agree to give at least 24 hours’ notice for if cannot attend the lesson I agree to look after the instrument and will help to keep the studio clean. Signature/name of person filling out the form Today’s Date SUBMIT
