Taster application

Music Centre - apply for your free taster session!

Student Details
Name*
First Last
Child's Age*
Please enter a number from 6 to 21.
Special Educational Needs/Disabilities
Are there any medical conditions that we need to be aware of for the taster session?
Instrument*
Current standard*
Preferred Music Centre*
Music Centre Ensemble*

Parent/Carer Details
Parent/Carer Name*
Title First Last
Email Address*
Phone Number*
Privacy Concent*
- I confirm that I have read the Data Protection Policy
Online Learning Concent*
- I confirm that I have read the Online Learning Policy
Photo Consent*
Occasionally we would like to record or photograph lessons and performances and will sometimes use these images on our website and in publicity material. At no time will the name of any child be made public. Please indicate your consent for us to use images of your child by selecting one of the following options. Please leave blank if you do not consent.
Yes, I consent to the use of images of my child
Where did you hear about us?*
- From your child's Instrumental/Vocal teacher
- Word of Mouth
- Social Media
- Advert
- Other
if 'Other' please give details
Name
This field is for validation purposes and should be left unchanged.

Student Details