Book Lessons & Music Centre Membership

Use the form below to express your interest in booking lessons or joining one of Music Centre ensembles.


Student and Parent Details

All fields are required except where indicated.

Student’s Forename:

Student’s Surname:

Date of Birth:


Current School:

Current Year of Study:

Home Address:


Parent’s Title:

Parent’s Surname:

Parent’s First Name:

Parent’s Email:

Parent’s Mobile Number:

Student’s Email Address (Optional):

Student’s Phone Number (optional):

Medical/Dietary/Learning Needs:

Previous Musical Experience:

If you already play a musical instrument please provide details here




Have you had any Whole Class Instrumental Teaching at your school:

List any other musical activities you have done

I am interested in finding out more about:

For Lesson Bookings Only:


Do you wish to have your lessons at:

Choose one of the following options (required):

*For individual lessons of more than 30mins, please speak directly to your nearest Music Centre
**Group lessons are organised through discussion with BMT and are available where there are sufficient numbers of students of the same ability on the same instrument. A group may be 2-3 students or 4-6 students and rates differ accordingly. Group tuition is not available to students above grade 2 standard.

For Music Centre Applications Only:

Music Centre Location:

Group/Ensemble 1:


Group/Ensemble 2:


Group/Ensemble 3:


Give Buckinghamshire Music Trust a boost via Gift Aid?

For every £1 you pay in Music Centre fees, BMT will receive an additional 25p. Gift Aid is reclaimed by BMT from the tax you pay for the current tax year. By ticking this box you confirm you are a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all of your donations, it is your responsibility to pay any difference.

Please read the terms and conditions below before submitting this form:

Tuition is provided on an ongoing, rolling contract and pupils may only withdraw from activities at the end of a term following receipt of written notice to the Music Centre at least one half-term in advance to avoid fees being charged in lieu of notice. If late notice is received, parents will be invoiced for the following half-term.

Fees are invoiced termly and should be paid on receipt of invoice by cheque (payable to Buckinghamshire Learning Trust) or by bank transfer.

Parents are asked to inform the tutor of any known absences a minimum of one week in advance via the purple practice diary so that, where possible, these can be re-arranged within the same term. In the case of pupil absence, we are unable to reschedule lessons other than at the tutor’s discretion. Where the tutor is absent, parents will be informed via your child’s school and lessons will be rescheduled by the tutor in agreement with the school. Where the tutor is absent for more than one week, BMT will endeavour to cover these lessons with an alternative tutor or will provide a refund at the end of the year for any sessions missed through tutor sickness.

We are committed to ensuring that all Music Centre activities are accessible to all young people and provide subsidies for families who are eligible for Free School Meals and for siblings of existing members. We are always willing to consider individual situations to ensure that any financial barriers to participation can be overcome and any parent may contact the Music Service and request to discuss with the Director at any time.

The Music Service is responsible for the safety of students whilst they are within the music centre or on a pre-arranged visit or performance off-site and has appropriate Risk Assessment, Safeguarding, Health & Safety and First Aid procedures in place. Parents must be responsible for their child’s safety and well-being at all other times, with particular regard to their journey to and from the music centres.

Please ensure that you inform the Music Centre directly if any of your personal details change, in particular phone and email contacts, including those named as emergency contacts.

Parents are responsible for ensuring that the Music Service is aware of any medical needs and special educational needs in regard to their child. Please ensure to complete the relevant section of the form is filled in and where necessary provide the relevant Area Leader with any further information.

The Music Service occasionally takes photos and audio/video recordings of pupils for archive purposes, teacher training and use in our own promotional material and publicity. If you do NOT wish your child to have their image used in this way please select 'No'. For anything used by external agencies such as press, specific additional permission will be sought.

The Music Service would like to add your details to the Friends mailing list for your chosen centre. Please select No if you do NOT wish us to do so.

The Music Service as part of the Buckinghamshire Learning Trust is registered with the Data Protection Registrar’s Office and will not use or share this information outside the organisation without the express permission of the parent concerned.