Cancellation of Services Notice Periods Please observe our notice periods as set out in our Terms and Conditions. If inadequate notice is given, charges will still apply. Music Centre Lessons - a full half term's notice Music Centre Groups - a full half term's notice Intermediate and Youth Ensembles are an annual subscription, billed in three equal installments. Pupil DetailsPupil Name* First Last Date of Birth* Date Format: DD slash MM slash YYYY Current School*What do you wish to cancel?* Instrument Hire Music Centre Lessons Music Centre Group Membership Intermediate or Youth Ensembles Reason for Cancellation*Instrument HireInstrument*Reference NumberPlease provide the 5-digit reference number from your instrument tag. This is also inscribed on brass and woodwind instruments, and written inside string instrumentsCancellation Date*Please select from one of the next available cancellation slots, which are in accordance with the notice periods set out in our Terms and Conditions. Charges will still apply up to this date.At the end of the Autumn TermAt the end of the Spring TermPlease let us know when the instrument has been returned to school so that we can arrange for it to be collected. Please note that the instrument remains signed out to you (and therefore charged to your account) until it has been collected.Music Centre LessonsPeriod of Notice: a Full Half TermCentre*Please indicate which centre your child attendsBromsgroveKidderminsterMalvernWorcesterLesson details*Please provide details of your child's lessons (instrument, teacher etc.)Music Centre Lesson Cancellation Date*Please select from one of the next available cancellation slots, which are in accordance with the notice periods set out in our Terms and Conditions. Charges will still apply up to this date.At the end of the Autumn TermAt the end of the Spring Half TermAt the end of the Spring TermAfter Summer Half TermAt the end of the Summer TermMusic Centre GroupsCentre*Please indicate which centre your child attendsBromsgroveKidderminsterMalvernWorcesterMusic Centre GroupPlease indicate which group(s) you wish to cancel membership ofMusic Centre Group Cancellation Date*Please select from one of the next available cancellation slots, which are in accordance with the notice periods set out in our Terms and Conditions. Charges will still apply up to this date.At the end of the Spring TermAfter Summer Half TermAt the end of the Summer TermIntermediate and Youth EnsemblesIntermediate/Youth Ensemble Details*Please indicate which ensemble(s) you wish to cancel membership ofWhen do you wish to cancel?*At the end of the current academic yearOther (see below)Reason for early cancellationNormally membership of either the intermediate or youth ensemble is considered an annual commitment. In extenuating circumstances, early cancellation will be considered by the conductor and the Director of Learning. Please detail below.Account Holder DetailsAccount Holder Name* MrMrsMissMsDrProf.Rev. Prefix First Last Address* Street Address Address Line 2 City County ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Daytime Phone Number*Mobile Phone NumberIf differentEmail* Terms and ConditionsI agree to the Severn Arts Terms and Conditions and Price List*Terms and Conditions Confirm
