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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
No
Please indicate if you would like a shared lesson if possible*
Yes
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.
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PERMISSIONS & AGREEMENTS

I agree to the Abbey College (ASCA Music Service) Terms and Conditions as found on the website*
Yes
No
Data Protection : I give consent for you to collect and use this information for legitimate purposes within ASCA.*
Yes
No
Do we have your approval to take and use photographs or video of your child?*
Yes
No
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Terms & Conditions