Bonners Music School - Eastbournes Premier Music School

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Please note: By completing this form you are under no obligation to sign up for lessons until you have agreed your confirmed class time.

Students First Name & Surname *

Students Age: *

Students Full Address: *

Students Post Code: *

Parent/Guardians Name & Surname (If pupil under 18):

Home Phone Number: *

Mobile Number:

Your Email Address: *

Which Instrument Are You Interested In? *

Which Type of Class Do You Require? *

Do You Have Any Siblings Currently Taking Classes? (Provide Name For 15% Discount)

Any Other Relevant Info (i.e Previous Experience):