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07948 167396
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07948 167396
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07948 167396
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    Student Details

    First name*:

    Middle name:

    Surname*:

    Date of birth*:

    Postal address*:

    Parent/Carer Details

    First name and surname*:

    Relationship to student*:

    Postal address*:

    Email*:

    Mobile phone number*:

    Musicianship Classes

    Please select from the list below:

    Instrumental Lessons

    The only available instruments for children in Year 2 are piano, violin, viola, cello, harp, piano, singing or drum kit.

    Please note that Year 2 musicianship is compulsory if learning an instrument in Year 2 - please select this from the Musicianship Classes above.

    Other instruments are available from Year 3, depending on a number of factors including size.

    Please select an instrument from the list below*:

    Please select a second instrument from the list below:

    Please indicate your preferred length of lesson*:

    Music Theory

    Please select from the list below:

    Ensembles

    Please select from the list below:

    GCSE/A-Level Support (minimum 40 minute lesson)

    Please select from the list below:

    I give permission for my child's photo to be used for TLSMC publicity?*:

    Does your child have any allergies*:

    If ‘Yes’ please give details below:

    Please provide any other relevant information:

    How did you hear about us?*:

    Terms & Conditions

    Please tick the box to agree to the Terms and Conditions*:

    Privacy Statement/Data Protection

    In accordance with the Data Protection Act 2018, the information that you have provided on this form to 'The Latymer Saturday Music Centre CIC' will be used in the following ways:

    • To store it securely either electronically or in paper form

    • To use it for the purpose of providing music classes

    • To communicate with you as a customer of 'The Latymer Saturday Music Centre' by email, post or phone about your child's classes

    • To share with employees/representatives of ‘The Latymer Saturday Music Centre CIC’

    I consent to my data being used for the purposes as detailed above.

    Please tick the box to give your permission*:

    Please tick the box to agree to the Privacy Policy*:

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    Your Privacy

    We do not store your personal information for any other purpose than for our own use.

    Our website is SSL protected meaning that when you contact us through the website, all your details are encrypted before being transmitted to us.

    Please see our Privacy Policy

    Terms & Conditions

    Please see our Terms & Conditions