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Tameside Music Service

Enrolment Form - Instrumental / vocal tuition


PUPIL INFORMATION
Pupil Name
Date of Birth / /
Gender
School
School Year
SEND/Medical Needs
Ethnicity
My Child has previously played : Yes : No
Approximate Standard
PARENT/CARER INFORMATION
Name
Title
Relationship to child
Address line 1
Address line 2
Town
City
County
Postcode
Home Tel
Mobile
Email Address
Emergency Contact Name
Emergency Contact number
I wish to continue with lessons : Yes : No
I give permission for my child to be photographed / videoed for the purpose of marketing
  : Yes : No
Type of instrument/vocal lesson you wish to enrol in:
 
I would like to enrol my child in : Standard 30 minute shared lesson or individual 15mins lesson
: Individual 30 minute lesson
: Theory Lessons

Payments

Please tick your preferred method of payment

Standard lessons:
Payments for academic year (Sep – July):

Invoice method - £234
Direct Debit method
9 monthly instalments of £26 (Oct – June) (A Direct Debit form will be sent)
Termly payments (all invoiced):
Autumn term (Sep – Dec) - £90.50
Spring term (Jan – Mar) - £75.50
Summer term (April – July) - £90.50

Individual 30 minutes lessons
Payments for academic year (Sep – July)

Invoice method - £459
Direct Debit method
9 monthly instalments of £51 (Oct – June) (A Direct Debit form will be sent)
Termly payments (all invoiced):
Autumn term (Sep – Dec) - £174
Spring term (Jan – Mar) - £145
Summer term (April – July) - £174

Super 7

Pupils who had woodwind, brass or string lessons in Y6 and will be in Y7 in Sep 2017 Payments for academic year (Sep – July):

Invoice method - £126.50
Direct Debit method
9 monthly instalments of £13.50 (Oct – June) (A Direct Debit form will be sent)
Termly payments (all invoiced):
Autumn term (Sep – Dec) - £50
Spring term (Jan – Mar) - £50
Summer term (April – July) - £50

Theory Classes

1 hr at TMS, Discovery Academy

Termly payments (all invoiced):
Autumn term (Sep – Dec) - £48
Spring term (Jan – Mar) - £40
Summer term (April – July) - £48


Pupil is a Looked After Child (LAC) : Yes : No
Pupil is eligible for Pupil Premium (FSM)
so will receive 50% discount *
: Yes : No
*Please ensure you have indicated which payment option and lesson type you require*

The tuition contract is for the full academic year September 2017 – July 2018 unless written notice of cancellation is sent directly to the music service. Please refer to the cancellation policy and terms and conditions.


I have read, understood and agreed to the terms and conditions including the cancellation policy.

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