Continuation of Tuition Complete 0% 1 Page 1 2 Page 2 3 Page 3 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 be continuing when school lessons begin I will not be continuing I will not be continuing Lesson length 20 minutes 20 minutes 30 minutes 30 minutes Back Next Complete 33% 1 Page 1 2 Page 2 3 Page 3 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 Yes No No Please indicate if you would like a shared lesson if possible* Yes Yes No No 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. Back Next Complete 66% 1 Page 1 2 Page 2 3 Page 3 PERMISSIONS & AGREEMENTS I agree to the Abbey College (ASCA Music Service) Terms and Conditions as found on the website* Yes Yes No No Data Protection : I give consent for you to collect and use this information for legitimate purposes within ASCA.* Yes Yes No No Do we have your approval to take and use photographs or video of your child?* Yes Yes No No Submit Back Next