Musicale
Homecroft
Sun Lane
Harpenden
AL5 4GJ
01582 713333
info@musicale.co.uk
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If you are enquiring about more than one child please complete the form once for each child.
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Title
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Your Name
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First
Last
Phone Number
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Email
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Full Address (inc. Postcode)
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Student Name
*
First
Last
Student Date of Birth
*
Student School
*
Please select which instrument(s) you are interested in:
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Bassoon
Cello
Clarinet
Cornet
Double Bass
Drums
Flute
French Horn
Guitar
Oboe
Percussion
Piano
Saxophone
Theory
Trombone
Trumpet
Viola
Violin
Voice
What is your approximate standard? (e.g. beginner / grade 5 etc)
Please let us know days and times that you are available for lessons:
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When would you like to start lessons?
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Photo Permission
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Please let us know if your child has any additional or medical needs, including allergies
Confirmation
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I have read and agree to the
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