ASCA Music - Music Provision in Schools

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

Child’s First Name *

Child’s Surname *

Your Child's School *

Year Group *

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.

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

Name

Abbey College, Ramsey, PE26 1DG

lsheldrake@abbeycollege.cambs.sch.uk