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Application Form:
Student Name:
*
First
Last
Student's School Year:
*
Year 1 (Please note: this doesn't include reception age)
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
School:
*
Bodmin College
Coads Green Primary School
Lewannick CP School
Looe Community Academy
Pensilva Primary School
St Neot Primary School
St Winnow Primary School
Stoke Climsland Primary School
Instrument:
*
Drum Kit
Electric Guitar
Acoustic Guitar
Bass Guitar
Lesson Preference:
*
10-Minute Individual Lesson (£6 Per Lesson)
20-Minute Individual Lesson (£12 Per Lesson)
Is your child right or left handed?
*
Right Handed
Left Handed
Parent/Guardian Name:
*
First
Last
Email
*
This will not be used for any marketing purposes
Contact Telephone Number
*
Lesson Subsidies
Please State Eligibility:
Free School Meals and/or in care (please note that this does not include Universal Free School Meals) (£5 Discount per lesson)
Parent(s) serving in the British Armed Forces (£2.50 Discount Per Lesson)
Child, or parent, in receipt of Disability Living Allowance (£2.50 Discount Per Lesson)
Child is SEN Registered (£8.50 Discount Per Lesson)
Students Date Of Birth:
This is only required if applying for subsidised lessons. The information given will only be shared with CMEH and kept on a secure network. For more information on our privacy policy please go to
http://www.cornwallmusictuition.com/privacy-policy/
DD slash MM slash YYYY
Any other information:
Please let us know if you there is anything else you think we may need to know before lessons commence (certain individual needs for example)
Terms and Conditions
A term’s payment is due before lessons commence. Once payment is received, lessons will proceed and any ordered products (books, sticks etc) will be given out at the first lesson. Refunds/credit will not be given due to child absences unless we are given 24 hours notice. If a lesson cannot be fulfilled by our tutors the time will be made up in the following week(s). If this cannot happen a refund will be given. If a lesson is cancelled due to no fault of the tutor (trips/school commitments etc) we will do our best to make up the lesson in the following week(s). If you wish to cancel your child’s lesson you must give Cornwall Music Tuition at least one month’s notice, so we are able to regroup timetables.
Please tick to show that you have read and understood the terms & conditions:
*
I have read and understood the terms & conditions and wish my child to begin music tuition at his/her school.
Δ
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