1
Call Us :
01270 762546
Email :
info@sandbachmusic.co.uk
Facebook
Twitter
Welcome
About Us
About Us
Our Services
Our Tutors
Our Centre
FAQ
Tuition
Lessons
Mini Maestros
Music Theory
Fees and Conditions
Timetables
Opening Hours
Year 2020-21
Vacancies
Contact Us
Contact Us
Location
Online Booking Form
You are Now on:
Home
Online Booking Form
Pupil's Name
*
Pupil's DOB
*
Date Format: DD slash MM slash YYYY
Parent's Name (if Pupil is under 18 years of age)
Address
*
House Name/No. & Street
Address Line 2
Town/City
County
Postcode
Home Phone Number
Mobile Phone Number
*
Email Address
*
Enter Email
Confirm Email
Instrument/Course 1
*
Piano/Keyboard
Violin
Electric Guitar
Acoustic Guitar
Bass Guitar
Drums/Percussion
Ukulele
Theory and Musicianship Class
Vocals
Trumpet/Cornet
Trombone
Baritone/Euphonium
Tuba
Clarinet
Saxophone
Flute
Mini Maestros
Other
Previous Experience
*
Please briefly outline any previous music education experiences the pupil has had. If none, please state "none"
Medical Details
Please list above any medical of health issues that we should be aware of.
Where did you hear about Sandbach Music?
*
. . . please select
Search engine (Google)
Search engine (Other)
Facebook
Twitter
Flyer
Advert
Recommendation
Preferred payment date for Direct Debit payments
*
1st
15th
Please select
Captcha