Instrument exchange/replacement form Pupil DetailsPupil name* First Last Date of birth* DD slash MM slash YYYY Current school*Instrument detailsCurrent instrument detailsReplacement instrument detailsReason for exchange/replacement*Fault/DamagePupil needs a larger string instrumentPupil learning a different instrumentFault/damage details*Please describe the problemNew size required*Special instrument requirementsAs advised by music teacher (e.g. curved-head flute, short-reach bassoon)Account Holder DetailsAccount holder name* TitleMrMrsMissMsDrProf.Rev. Prefix First Last Email* Daytime phone number*Mobile phone numberIf different from aboveKeeping 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 Newsletters for practitioners
