Enrolment Form for Music Lessons

Student Name *

First

Last

Your Name

First

Last

If different to student name eg a parent of a child

Mobile Phone Number

This is very useful for quick contact.

Email *

Which instrument do you wish to learn? *

Flute
Recorder
Piano
Keyboard

How many lessons would you like?

Usually I teach by the school term in-person but can do holiday lessons. I can also do a set number of lessons as desired.

Lesson Type

20 minutes private
30 minutes private
20 minutes paired
30 minutes paired

For Home lessons, which day or days and times Monday to Friday suit?

For Home lessons I will fill up Monday to Thursday first. Lessons at a school will have a set day.

Choose where are lessons to be held? *

Teachers Home
School
Online

I teach at my home and at some schools and online. Indicate where lessons are to be held. Name school in comments below if at a school.

Tuition Payment Preference *

one full term payment
two half term payments

Age if under 18 *

This is to give an indication for lesson type

Beginner or not *

Let me know your experience eg number of years or level if not a beginner. And mention any books, pieces you have played or currently on.

Do you have music book(s) or pieces of interest to learn? *

Yes
No

Would you be happy to buy a music book to learn from?

Yes
No

If you don't have any music.

What are your goals for learning this instrument?

Photo/Video Release of special moments, achievements. This can be on a newsletter , facebook page, my website

Yes with first name
Yes without first name
No

You can make a comment on this in the Comments section below.

How did you find out about the lessons?

Comment or Message

Let me know anything useful to help with the lessons eg learning style, music of interest to learn and play, food allergies ( in case of a food type reward ) or other allergies ( hand sanitiser )