Name*

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Address*

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Email Address*

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Best phone number to reach you on*

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Which instrument are you interested in playing?*

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I am applying for the Starter Package

If you are applying for the starter package, fill the required fields but the others are optional. Please tick the Instrument Hire button.

What length of lesson would you prefer? 30, 45 or 60 minutes*

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Would you prefer online or face to face lessons?*

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Please let me know what previous musical experience you have. It could be music lessons at school to GCSE, A Level or music theory.

Please leave a message if you have anything else to add.

Please tick this box if you are an adult learner

Please tick the box if you are requesting lessons for an under 18

Please tick if you would like to request instrument hire

I am interested in group lessons

Please indicate how many pupils

I hereby agree that this data will be stored and processed for the purpose of establishing contact. I am aware that I can revoke my consent at any time.*

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