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*
20 Min lesson £12
30 Min Lesson £17.50
Instrument Choice
Piano
Singing
Woodwind - Clarinet
Woodwind - Flute
Woodwind - Saxophone
Woodwind - Recorder
Guitar - Acoustic
Guitar - Bass
Guitar - Electric
Strings - Violin
Drums
Ukulele

About your Child

Child’s Full Name *
Date of Birth *
Year Group *
Your Child's School *
Does your child have any special educational needs?*
Yes
No
Home Address *
Parent/Carer Contact No *
Parent/Carer's Email address *

AGREEMENTS AND INFORMATION

Parent / Carer’s Full Name *
I agree to the Abbey College (ASCA Music Service) Terms and Conditions*
Yes
No
Do we have your approval to take photographs or video of your child to use in newsletters/press releases?*
Yes
No
I give consent for you to collect, use and store this information for legitimate purposes, such as passing on your contact details to our tutors, within ASCA. Information is deleted once your child stops lessons*
Yes
No
If you have any other information or requests, please use this box
Submit

Contact Details

Abbey College, Ramsey, PE26 1DG

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