Music Instrument Lesson Request
If your child is of Reception age or over and would like to learn a musical instrument please fill in this form. Should your child not be offered a place next term, we will keep your request on a waiting list and offer places as and when they become available.
Email address *
What is your child's name? *
Your answer
Is your child attending the Hill site or the Park site? *
What is your child's class? *
Your answer
What is your full name? *
Your answer
What is your relationship with the child? *
Row 1
These are the instrument choices, please indicate which instrument you'd like to choose: *
Violin (for Reception age and older)
Piano (for Reception age and older)
Recorder (for Reception age and older)
Guitar (Year 2 and older)
Flute (Year 2 and older)
Saxophone (Year 4 and older)
Other (see form below)
Row 1
Other instrument/music lessons that we may offer, should there be have enough interest, are: Brass/trumpet, Vocal skills, Cello. If you are interested in these or have other suggestions please detail below.
Your answer
This is where you choose the type of lesson and the fees, each lesson lasts 20 minutes and there are normally 10 lessons per term. If your child receives free school meals we may be able to subsidise some paired lessons, this will be assessed on a case by case basis. *
Paired lessons- £75 per term (normally 10 lessons).
Individual lessons - £150 per term (normally 10 lessons).
Only tick this box if you receive free school meals.
Row 1
If you would like to hire an instrument for your child's lessons please tick the box below (fees for instruments are kept as low as possible and are usually cheaper than those offered by music shops). *
Other resources such as books (£5 per book) and exam fees (variable) may be applicable and chargeable to you as extras. Please tick below to indicate that you understand this. *
I agree to pay the tuition fees (and hire fees if applicable) in advance by the first week of each term through ParentPay. Should I choose to cancel my child's lessons I need to give notice in writing to the office at Hillyfield at least two weeks before the end of the proceeding term, if I do not cancel in this time then I may be liable for a further term's fees. Any cancellations during the term will incur the full term's fees. By ticking the box below you are agreeing to the terms above. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Hillyfield Primary Academy. Report Abuse - Terms of Service