Virtual Music School sign up

Parent/carer first name

Parent/carer last name

Parent/carer email

Parent/carer telephone number

Alternative telephone number

First line of address

Postcode

Child first name

Child last name

Child's school (from September 2020)

Child's date of birth DD/MM/YYYY

Child's gender

Which instrument/s (or vocal tuition) would you like?

What level is your child at? (Ie Beginner or aproximate Grade. If unsure leave blank.)

Name of current Music Sevice teacher (if known)

1-2-1 zoom music lessons (low income cost in brackets):

10 week block 28 September to 12 December 2020

10 x 10 minutes £74.75 (£51.75)

10 x 20 minutes £149.50 (£103.50)

10 x 30 minutes £212.00 (£149.50)

Which lesson length would you prefer?

10 minutes

20 minutes

30 minutes

Are there any days/times that are not convenient?