Application for Instrumental Lessons

Please complete all the requested information below to apply for lessons and instrument hire if you need it.

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Lessons
Lessons are offered in school during the school day and are therefore subject to the agreement of your school for year 2 and above. We do not offer lessons at pupils’ homes. Not all instruments are taught, and all lessons are offered subject to availability.

Instrument Hire
All pupils will need an instrument of their own, which is of good quality and the right size. You can hire an instrument from us (subject to availability), or make your own arrangements to provide an instrument for the pupil. We recommend hiring an instrument for the first 2 or 3 terms or learning. Please ask your instrumental teacher for advice before buying an instrument.

Please read our terms and conditions before completing the form.

Current lesson and instrument hire charges are available in the lessons in schools section.

Please note that a green message will appear ‘message sent’ near the top of the page when your form has been sent successfully. If this message does not appear then you may have sections of the form still to complete. If this happens please scroll down and find the section highlighted in red.

Pupil details

Forename

Surname

Which school do you go to?

Gender
MaleFemale

Date of Birth

Parent/Carer details

Title

Forename

Surname

Relationship to pupil

House number / name of road

Town/city

Country

Postal code

Main telephone number

Bill Payer Details

Is the billing name and address the same as the parent/carer details above?

Yes - please go to the 'lesson details' sectionNo - select this option to enter details

Title

Forename

Surname

Relationship to pupil

Street

Town/city

Country

Postal code

Main telephone number

Alternative telephone number

Lesson Details

Which instrument do you wish to learn

What lesson type would you like? (please see the link above for lesson charges. We recommend group lessons for beginners)

Group lessonIndividual 20 minute lessonIndividual 30 minute lesson

Are you eligible for subsidsed lesson rates? Please see our 'financial assistance for low income families' webpage for full qualifying conditions and how to claim

No - you will be charged at the standard rateYes - Level 1 (families with a household income below £16,190)Yes - Level 2 (families with a household income between £16,190 and £25,000)

We cannot normally offer subsidides rates for individual lessons. Please contact the music service office to discuss your individual circumstances.

The cost of having these lessons will be £65.00 per term, plus £20 instrument hire if you choose this option below.

The cost of having these lessons will be £132.00 per term, plus £20 instrument hire if you choose this option below.

The cost of having these lessons will be £198.00 per term, plus £20 instrument hire if you choose this option below.

The cost of having these lessons will be £13.00 per term, plus £4 instrument hire if you choose this option below. Please read the terms and conditions of subsidised lessons carefully so that you are sure of your eligibility and obligations.

The cost of having these lessons will be £32.50 per term, plus £10 instrument hire if you choose this option below. Please read the terms and conditions of subsidised lessons carefully so that you are sure of your eligibility and obligations.

Have you had lessons on this instrument before?

YesNo

Give the name of the teacher

Standard (grade or piece being learnt)

Instrument Hire

You will need instrument to have lessons. If you are not hiring from us, you will need to make alternative arrangements for hiring/buying a suitable quality instrument.

Do you require instrument hire (subject to availability)? (see our charges page above for the cost of hiring from us)YesNo

If you are requesting hire of a guitar, violin, viola, cello or double bass, please give the following measurement (in centimetres) of the pupil so we can allocate the correct size of instrument:
Guitar, Violin, Viola: distance from shoulder to fingertips Cello or Double Bass: height of pupil - head to heel when standing up

Photography

Slough Music Service occasionally takes photos and audio/video recordings of pupils for archive purposes, teacher training and use in promotional material (inc.internet). Do you give your consent to us using images of your child for these purposes?

Photo consent given

YesNo

Mailing List

We would like to send you information relevant to Slough Music Service’s tuition activities and other musical opportunities we offer. Your details will not be passed to any other organisation.

Mailing list opt-in?

YesNo

Please tell us any other information about the pupil we should know

Terms and Conditions

Once you have submitted this form, we will write to you to confirm tuition, and when lessons will start. You have 14 days from the date of this letter to cancel this agreement without incurring any financial obligations. You will receive a termly invoice for lessons - please do not send any payment until you receive an invoice. This is an ongoing agreement. We will assume you wish to continue with lessons until you write to us to tell us otherwise. You will need to give us the amount of notice as described in the full terms and conditions if you wish to cancel this agreement. You must read and accept our full terms and conditions (via the link above) before submitting this form.

Tick here to confirm you have read and accept our terms and conditions

Yes

Please enter your full name

Date