Music Video-call Tuition - Application Form | The Roger Diamond Foundation

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Music Video-call tuition - Application Form

Date of Birth (optional)

How did you hear about or discover us?

Tuition required in

Music Theory

Jazz Piano

Piano

I am not sure

Tuition Required for

Parent

1st Child

2nd Child

Adult only

Name & age if the tuition is for Adult only or Parent (optional)

Name and age of first child you are registering (optional)

Date of Birth of first child you are registering

Name and age of second child you are registering (optional)

Is the child being registered qualified for Free School Meals? (optional)

Are you in receipt of any benefits? (optional)

Date you might like the tuition to commence (optional)

Level of tuition you think is required (optional)

Beginner level

1st level

2nd level

Advanced level

I don't know

Country of Family Origin (optional)

Further information or details you would like to provide (optional)

Declaration

Consent Statement: I confirm that the above information given by me is correct and I consent to this data being kept by the Roger Diamond Foundation (RDF) in accordance with the Data Protection Act.

Data Protection

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