Instrument Hire form Pupil details Forename Surname Which school do you go to? Date of Birth Parent/Carer details Title Forename Surname Relationship to pupil (mother, father, carer etc) House number / name of road Town/city Country Postal code Daytime Main email address Instrument Hire What instrument do you wish to hire? If you wish to hire any of the following instruments, please give the requested measurement of the pupil so that we can allocate the correct size of instrument, Or state the size advised by the teacher: Violin/Viola/Guitar - arm length (shoulder to fingertip) Size recommended Cello/Double Bass – total height (head to toe) centimetres Declaration:I have read and accept the terms and conditions overleaf, and agree to abide by them. This is an ongoing agreement and will automatically be renewed each term. Please see terms and conditions for ending this agreement. Signature: Please enter your full name Date Slough Music Service would like to contact you occasionally by email informing you of the events and opportunities we offer young musicians in Slough. YesNo We will not share your information with any third parties. You may unsubscribe to news and events emails at any time by contacting us.
