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Student Re-Enrolment 2021/2022
Closing Date 3rd July 2021
STUDENT INFORMATION
Student First Name *
Student Surname *
Date Of Birth *
MM
/
DD
/
YYYY
Parent / Guardian Name (if applicable)
Phone Number *
Email Address *
Do you wish to rent an instrument from Mezzo for the term? *
Does the student have a medical condition, or any additional learning or behavioural needs? *
If yes, please give details. This information will be treated with the strictest confidence. It is important that the teacher is made aware of any circumstances which might affect the student's wellbeing, behaviour, or ability to learn.
CLASS SCHEDULING
Term Type *
Select Instrument(s)
Select Course(s)
Lesson Type *
Lesson Duration
Clear selection
Teacher preference
Day & Time Preference (please choose at least 3 options)
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
9am - 11am
11am - 1pm
1pm - 3pm
3pm - 5pm
5pm - 7pm
7pm - 9pm
Any additional information regarding day & time slots:
PAYMENT
How will payment for Term 1 be made? *
If paying in instalments, please select a plan (at no extra charge).
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