Play at the Con - Enquiry Form

Play at the Con – Enquiry Form

Applications for Term 3 2020 are open. If you would like to commence lessons please complete the form below.

Please note that due to the COVID restrictions face-to-face teaching will only be available to students aged 16yrs and over. Lessons for students aged under 16yrs will remain in the online mode until further notice.

Student details

Student's First name ^*

Student's Family name ^*

Date of birth ^*

E-mail ^*

Phone number ^*

If the student is under 18 years of age please provide the following additional information:

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's E-mail

Parent/Guardian's Phone number

Name of school student is enrolled at

School year e.g. Year 5

Tuition details

Preferred teacher's name ^*

Area of tuition ^*

Preferred lesson duration ^*

Previous training ^*

Preferred day - 1st choice ^*

Preferred day - 2nd choice ^*

Please note specific lesson times are to be agreed with the teacher.

Comments

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Conservatorium Open Academy

Play at the Con - Enquiry Form

Play at the Con – Enquiry Form

Student details

Tuition details

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