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
30 Min Lesson £17.00
Instrument Choice
Piano
Singing
Woodwind - Clarinet
Woodwind - Flute
Woodwind - Saxophone
Woodwind - Recorder
Guitar - Acoustic
Guitar - Electric
Guitar - Electric
Strings - Violin
Drums
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
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
No
Do we have your approval to take and use photographs or video of your child?*
Yes
No
Data Protection : I give consent for you to collect and use this information for legitimate purposes within ASCA.*
Yes
No
If you have any other information or requests, please use this box

Terms & Conditions