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*Required information.
Continuing Tuition
Instrument *
Tutor Name *
Will you be continuing in September 2019 *
Lesson length
About Your Child

About Your Child

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

Child’s Full Name *
Year Group *
Tutor Group *
Your Child's School *
I will be providing my son/daughter with their own instrument *
Does your son/daughter have any special educational needs? *
Please indicate if you would like a shared lesson if possible *
Home Address *
Parent/Carer Contact No *
Email address *
I agree to the Abbey College (ASCA Music Service) Terms and Conditions as found on the website *
Parent / Carer’s Full Name *
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. *
Photography Permissions
Do we have your approval to take and use photographs or video of your child? *