West Sussex Music - Initial Lesson Inquiry Form - Music Lessons Outside of School Hours

WEST SUSSEX MUSIC NETWORK

DONATE NOW

PAY INVOICE

STAFF ZONE

Home
About Us
Making Music
Support Us
Schools
Contact Us

Essentials

Home
About Us ▼
Making Music ▼
Support Us ▼
Schools ▼
Contact Us

West Sussex Music Network
Donate Now
Pay Invoice
Staff Zone

Music Lessons Outside of the School Day

In order for you to complete the enquiry form below you must have read the following documents:

Data Protection policy
Privacy Notice

Initial Enquiry Form - Music Lessons Outside School Hours

Personal Details

Title

Parent's name *

Contact telephone number *

Contact email *

Child's name *

Date of birth *

DD/MM/YYYY.

Child's school *

Pupil details - year group from September 2018 *

Lesson Request

Preferred Instrument No Preference

Woodwind Flute Clarinet Saxophone Oboe Bassoon

Brass Baritone Cornet Euphonium French Horn Tenor Horn Trombone Trumpet Tuba

Strings Violin Viola Cello Double Bass Guitar Ukulele

Miscellaneous Piano Keyboard Singing Drum Kit Orchestral Percussion

Is your child currently having lessons on this instrument? * Yes No

If the answer is Yes, please provide more information below. Please include length of time learning, current Stage/Grade level and the name of the previous teacher.

Area Location * Chichester Crawley Haywards Heath Horsham Worthing

Following your initial enquiry with us, we will call you to discuss what tuition we can offer. We will aim to make contact during our office hours of 8.30am - 5pm. If there is a more suitable time for you, please make us aware below.

Where did you hear about West Sussex Music? Search engine School or college Advert Recommendation Other

If you heard about West Sussex Music from a different source then please enter it in the 'Other source' field.

Other source

To avoid our messages going into your junk folder please add music@westsussexmusic.co.uk

Data Protection

Please tick to confirm that you have read our Data Protection Policy (GDPR 2018) * I agree to the Data Protection policy.

Privacy Notice

This notice explains why we collect personal information about our customers and how we use it. Please confirm that you have read our privacy notice and understand how we will use your personal information. * I have read the Privacy Notice.

Contact Permission

From time to time, we would like to send you details of relevant musical opportunities for example concerts, excursions, and events or ways to support us which may be of interest to you. * Yes please, I'd like to hear about these opportunities. No thanks, I don't want to hear about these opportunities.

Declaration

You must be over 18 to apply for our services and you must have legal responsibility for the child named in this application. * I confirm that I am the parent/carer of the child named in this application and that I am over 18 years of age.

ELECTRONIC SIGNATURE BOX OF APPLICANT *

Enter the security text *

West Sussex Music
The College of Richard Collyer
Hurst Road
Horsham
West Sussex, RH12 2EJ

A company limited by guarantee registered in England and Wales
Company number: 8524556 | Charity number: 1152703

Tel: 08452 082 182
Email: music@westsussexmusic.co.uk

Terms of Website Use
Acceptable Use Policy
Data Protection Policy
Cookie Policy
Regulations and Conditions
Safeguarding Children
Privacy Notice
Cancellations