Registration Form (one to one)
Academic Year 2024 - 2025
LINK TO OUR TERMS AND CONDITIONS
:
Terms and Conditions
Student Details
Student's
*
First Name
Last Name
Student's Date of Birth
*
-
Day
-
Month
Year
Lesson you want to take
*
Piano
Guitar
Singing
Violin
Piano (Home Visit)
Duration of Lesson
*
30 minutes
60 minutes
Location
*
Online
Harrow Studios
Home Visit (Piano)
Parent or Legal Guardian Details
Parent/Guardian's
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Post code
Phone Number
*
-
Phone Number
Retype phone number
Email
*
Does the Student have any disabilities?
(It is vital that we are aware of any disabilities so that teachers are able to structure lessons to suit the student's specific needs and achieve the best results for the student. All information provided will be strictly confidential).
Does the Student have any disabilities?
*
Yes
No
If yes, please describe the nature of the disability/disabilities below
Student Age Verification
(The legal definition of a child in England, Wales and Northern Ireland is someone who has not yet reached their 18th birthday. On reaching 18 a person legally becomes an adult. Treating a person who is under 18 years as a child, is in keeping with Article 1 of the United Nations Convention of the Rights of the Child)
Please verify student age
*
The student is 18 years of age or above 18 years of age
The student is below 18 years of age
Parent or Legal Guardian Consent
( Please only complete this section if the student is below 18 years of age and will be attending our Harrow studios for lessons)
Part 1
I would like my child to make their own way unaccompanied to the music lesson and enter The Artistic School of Music Premises alone. I understand and accept this would be solely my responsibility and liability.
I will accompany my child and enter The Artistic School of Music Premises and hand over my child to the teacher for the music lesson.
Part 2
I give my consent and want my child to be allowed to leave the music lesson once it has ended and make their own way back to me alone. I understand and accept this would be solely my responsibility and liability.
I want my child to be kept in the music lesson once it has ended and until I collect them from the teacher.
Terms and Conditions Declaration
(A link to our Terms and Conditions can be found at the top of this page)
Please confirm you have read, understood and agree to abide by the Artistic School of Music Terms and Conditions.
*
Please Select
I confirm I have read, understood and agree to abide by the Artistic School of Music Terms and Conditions.
Submit
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