Adult music lessons Student detailsName* First Last Email* Home phone number*Mobile phone number - if different from aboveWhat level do you currently play at?*(e.g. ABRSM Grade 1, Beginner) Lesson details Lessons can be bought in blocks of 5. The cost for 5 x 20 individual lessons is £62.50 The cost for 5 x 30 minute individual lessons is £93.75 Instrument*Please state name of instrument you would like to learn or voice Length of lesson* 20 minutes 30 minutes Preferred lesson days/timesInstrument hire Instrument hire for 10 weeks ranges from £35.00 to £70.00 A £50 refundable deposit is required After ordering your instrument, you will be notified when it is available to be collected Hired instruments must be collected from and returned to Severn Arts: Suite 11, Malvern Gate, Bromwich Road, Worcester WR2 4BN Instrument hire terms and conditions Would you like to hire an instrument from Severn Arts?* Yes No Instrument required*-- BRASS --Trumpet - £17.50Cornet - £17.50Trombone (Standard size) - £17.50Tenor Horn - £22.50Baritone Horn - £25.00-- WOODWIND --Clarinet - £25.00Flute - £17.50Oboe - £35.00Saxophone - £22.50-- STRINGS --Violin - £17.50Viola - £17.50Cello - £18.75Instrument hire price quoted is for a hire period of 5 weeks.Refundable deposit* Price: This deposit will be refunded when the instrument has been returned to Severn ArtsTotal £ 0.00 Student agreementAgreement confirmation*I confirm that I have read the Severn Arts online lesson guidance/requirements and agree to Severn Arts Terms and Conditions Confirm Your privacyWe will always store your personal details securely. We’ll use them to provide the service that you have requested, and communicate with you in the way(s) that you have agreed to. You can change your mind at any time by contacting us at [email protected] / by clicking the unsubscribe link in the Mailchimp emails you receive from us. Your data may also be used for analysis purposes, to help us provide the best service possible. For full details see our Privacy Policy. By clicking 'Yes' below to subscribe to our updates you agree that we may use your information in accordance with these terms.Consent*The information you enter into this form will be collected and stored by Severn Arts. Please tick the tick box below to confirm you understand. I understand Keeping in touch* Yes No I am particularly interested in: Music Arts & festivals Cultural education updates for young people Receiving the Arts Newsletter for practitioners Payment summaryYou will be taken to the payment page after you have pressed the 'Submit' button below. When you have completed your payment we will send you an email confirming your lesson/instrument details.To pay £ 0.00