Form 15

Home Music Lessons

Request a Trial Lesson

Already registered with YMES - but new to Home Music Lessons

For other types of enrolment or contact form please return to the Enrolment Portal main page.

To request Home Music Lessons (single Trial lesson initially), please complete the form below.

Student First Name

Student Last Name

Contact Email Address

Contact Phone Number

Address

Selected Lesson Package (if lessons proceed after the Trial Lesson)

30 minutes - weekly (standard)

30 minutes - weekly (as part of a longer visit from the same teacher, eg siblings also having lessons)

45 minutes - weekly

60 minutes - weekly

60 minutes - fortnightly

Instrument

Level

Potential Days (Please tick as many as possible - we will check with you before scheduling lessons)

Potential Times (Please tick as many as possible - we will check with you before scheduling lessons)

Mornings

Early Afternoons (Before 3pm)

Late Afternoons (3pm-5pm)

Early Evenings (5pm-7pm)

Late Evenings (7pm-9pm)

Comments

Declaration

I have read and agree with the Terms & Conditions. (Click to View)

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