Annual Tuition Order |

Please keep a note of the order number supplied after submission and refer to this in any follow up communication

If you would like us to email your current schedule before you complete this form, please call us on 01905 947300 or email [email protected]

School name*

School contact name*

School email*

Do you need to change your order?*

We would like to amend our current order
We would like to continue with our current provision

Please indicate whether you would like to adjust your tuition for September, or whether you would simply like to carry on as you are.

Tuition Order 2023-24

Please indicate ALL of the tuition inputs that you require in September. If you do not require a particular instrument, please leave blank or write 0.

Violin/Viola

Hours	Minutes

Cello

Hours	Minutes

Double Bass

Hours	Minutes

Brass

Hours	Minutes

If you have any specific requirements, please detail in the Additional Notes field at the bottom of the form.

Flute

Hours	Minutes

Clarinet

Hours	Minutes

Oboe

Hours	Minutes

Bassoon

Hours	Minutes

Saxophone

Hours	Minutes

Drum Kit

Hours	Minutes

Guitar (Acoustic, Electric, Bass)

Hours	Minutes

Ukulele

Hours	Minutes

Electronic Keyboard

Hours	Minutes

Piano

Hours	Minutes

Recorder

Hours	Minutes

Voice

Hours	Minutes

Steel Pans

Hours	Minutes

Curriculum support

Hours	Minutes

Ensemble/choral direction

Hours	Minutes

Other tuition

Type	Hours	Minutes

Additional notes

Teaching dates to exclude

Please list the dates for your school INSET/TED days, trips and school closures etc when it will not be possible for tuition to take place. Please note that for lesson cancellation we require 10 working days’ notice to be given in writing to [email protected] – see our Terms and Conditions for details.

Approval and agreement

Approval*

I certify that I am an employee of the named school with financial authority to make this request on behalf of the school body

Agreement*

We have read and agree to Severn Arts Terms and Conditions

Keeping in touch*

We’d love to keep you posted with our news, events and activities. Would you like to receive updates from us?

Yes
No

I am particularly interested in:

Music
Arts & festivals
Cultural education updates for young people
Receiving the Arts Newsletter for practitioners

Annual tuition order form

Tuition Order 2023-24

Approval and agreement