Enrolment Form ASCA MUSIC ENROLMENT FORM * Denotes Required information. If you have any difficulties in sending this enrolment form to us please contact us. LESSON CHOICES Please choose your preference* 20min lesson £11.50 20min lesson £11.50 30 Min Lesson £17.00 30 Min Lesson £17.00 Instrument Choice Piano Piano Singing Singing Woodwind - Clarinet Woodwind - Clarinet Woodwind - Flute Woodwind - Flute Woodwind - Saxophone Woodwind - Saxophone Woodwind - Recorder Woodwind - Recorder Guitar - Acoustic Guitar - Acoustic Guitar - Electric Guitar - Electric Guitar - Electric Guitar - Electric Strings - Violin Strings - Violin Drums Drums Ukulele Ukulele About your Child Child’s Full Name * Date of Birth * Year Group * Your Child's School * Does your son/daughter have any special educational needs?* Yes Yes No No Home Address * Parent/Carer Contact No * Parent Email address * AGREEMENTS AND INFORMATION Parent / Carer’s Full Name * I agree to the Abbey College (ASCA Music Service) Terms and Conditions* Yes Yes No No Do we have your approval to take and use photographs or video of your child?* 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 If you have any other information or requests, please use this box Submit