Continuing/Ceasing Tuition for next Academic Year

Instrument

Tutor Name

Will you be continuing in September 2020

I will be continuing with online lessons until school lessons can begin

I will be continuing when school lessons begin

I will not be continuing

Lesson length

20 minutes

30 minutes

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

Child’s Full Name

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.

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

Yes

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