Current Student Re-Enrolment 2023/2024

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Closing Date 8th July 2022

STUDENT INFORMATION

Student First Name *

Student Surname *

Date Of Birth *

YYYY

Parent / Guardian Name (if applicable)

Phone Number *

Email Address *

Do you wish to rent an instrument from Mezzo for the term? *

Yes

Does the student have a medical condition, or any additional learning or behavioural needs? *

Yes

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 *

1. Face-To-Face Learning (in-person lessons in Mezzo)

2. Online Learning (remote lessons via Zoom)

Select Instrument(s)

Piano

Singing

Drums

Classical Guitar

Acoustic Guitar

Electric Guitar

Bass Guitar

Ukulele

Violin

Viola

Cello

Double Bass

Harp

Flute

Saxophone

Clarinet

Recorder

Trumpet

Trombone

French Horn

Select Course(s)

Music Theory

Kindermusik (ages 0 - 4)

Pre-Schoolers (ages 3 - 4)

Pre-Instrumental (ages 4 - 6)

Junior Choir (ages 4 - 10)

Performing Arts (ages 4 - 10)

Jam Session (ages 12 - 14)

Jam Session (ages 15 - 17)

Junior Cert Grind (private)

Junior Cert Grind (group)

Leaving Cert Grind (private)

Leaving Cert Grind (group)

Leaving Cert Music as external subject (private)

Leaving Cert Music as external subject (group)

Adult Choir

Lesson Type *

Private

Group

Other:

Lesson Duration

30 minutes

45 minutes

60 minutes

Other:

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? *

I will pay in full

I will pay in instalments

If paying in instalments, please select a plan (at no extra charge).

Monthly Standing Order (Direct Debit)

2 instalments (½ paid in September, balance paid in November)

3 instalments (⅓ paid monthly over September, October & November)

4 instalments (¼ paid monthly over September, October, November & December)

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