Online Enrolment - Aural Training Course

Pupil details

First Name ^*

Please give details of any medical conditions or SEND that the course leader should be aware of

Last Name ^*

Date of Birth ^*

Gender ^*

Medical condition(s) Musica Kirklees to be aware of ^*

Yes No

Special Education Needs and/or Disability (SEND) ^*

Yes No

Forthcoming exam details

Please give details of the pupil's forthcoming exam (please note - this course is for pupils working towards face-to-face classical exams with ABRSM or Trinity). This may be an exam that has been booked or one the pupil intends to take at some point in the future. This information will be used to help us tailor the course content to pupils' requirements.

Teacher (if not a Musica Kirklees teacher, please put n/a) ^*

Instrument ^*

Grade working towards ^*

Exam board ^*

ABRSM Trinity

Exam period ^*

Contact information

Parent/carer email address (or pupil email if over 18 and the preferred contact): ^*

Parent/carer mobile number (or pupil mobile if over 18 and the preferred contact): ^*

Home Address Line 1 ^*

Postcode ^*

Declaration

This declaration must be completed by a responsible adult (e.g. parent/carer) or can be completed by the pupil if they are over the age of 18. The signee will be responsible for the fees for the course.

I agree to the Aural Training Course Terms and Conditions ( Terms and conditions can be viewed here)

Signed by ^*

Enrol for the aural training course

Information about the course and prices >