Your name:
|
Email address:
|
Mobile phone:
|
Name of pupil (if different):
|
Instrument:
|
Age / Ability:
|
Lessons:
|
|
Your availability
The after-school slots (4pm to 6pm on weekdays) are like gold dust! Please give the widest
range of days and times that you could manage, to maximise the chances of finding a suitable slot.
Monday
to
Tuesday
to
Wednesday
to
Thursday
to
Friday
to
Saturday
to
|
| Please tick if you would
like to be put on our waiting list, if we don't have a suitable slot available now. This gives you priority for
new slots when available.
|
And finally: please prove you aren't a robot! What colour is the flower?
|  |
| |