Instrumental Lessons personal information form

Please read before completing the form
  • A completed form is required for each individual member at the start of each term.  
  • There are four sections that must be read and completed.
  • Please read our Audio/Visual Permissions policy here.
  • Please read our terms and conditions of membership here.

If you need any help completing the form, please phone the County Music Service on 01473 263400

Section 1: Member's details

Please make sure you check that all details are correct. All fields must be completed and you must provide current telephone and email details so that we can contact you at short notice, if necessary.

Below, please provide details of an alternative contact/address in case of emergencies.

Section 2: Medical Information

In your child's interest, it is important that the staff know whether they suffer from any illness or medical condition.

Section 3: Payment

Please select your chosen method of payment. The amount you're required to pay is indicated on your confirmation email.

When you submit this form there will be instructions on how to pay online by debit/credit card.

Remission of fees is based on the eligibility criteria for Free School Meals and available at 50%. Membership is free of charge for Children in Care (Looked After Children). To apply for fee remission you must tick which of the below criteria applies.

Section 4: Parental Consent

The term and conditions of Membership, as well as our Photograph/Video policy can be found on our Website from the links above.

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