CONTINUING / CEASING TUITION FOR NEXT ACADEMIC YEAR

Instrument

Tutor Name

Will you be continuing next September?

I will be continuing when school lessons begin

I will not be continuing

Lesson length

20 minutes

30 minutes

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ABOUT YOU AND YOUR CHILD

Please make the appropriate choices from the form below. Items marked with an asterisk (*) are mandatory.

Child’s First Name *

Child’s Surname *

Year Group

Your Child's School

Does your son/daughter have any special educational needs?*

Yes

Please indicate if you would like a shared lesson if possible*

Yes

Parent / Carer’s Full Name *

Home Address

Parent/Carer Contact No *

Email address *

If you have any other information or requests, please use the box below.

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I agree to the Abbey College (ASCA Music Service) Terms and Conditions as found on the website*

Yes

Data Protection : I give consent for you to collect and use this information for legitimate purposes within ASCA.*

Yes

Do we have your approval to take and use photographs or video of your child?*

Yes

Submit

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