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Private Music Tuition Application Form

STUDENT LAST NAME *

STUDENT FIRST NAME *

PARENT NAME *

CONTACT PHONE NUMBER *

EMAIL ADDRESS *

PLEASE CHOOSE WHICH INSTRUMENT YOU WOULD LIKE TO LEARN

Guitar

Piano

Violin

Trumpet

Drums

Trombone

Saxophone

Clarinet

Flute

IF YOU HAVE A PREFERENCE FOR A PARTICULAR TUTOR, PLEASE NAME BELOW (Please note this is not a guarantee of being allocated to this tutor, however the College will do their best to accommodate this)

ANY OTHER COMMENTS?

By submitting this form, I acknowledge that my contact details will be passed onto the relevant music tutor, who will be in contact to make arrangements for music lessons for my child. *

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88 Cecil Avenue
Castle Hill NSW 2154

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4 Gum Nut Close
Kellyville NSW 2155

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