Online Lesson Enquiry

 

Thank you for your interest in online streamed music lessons from the Allegro Music Academy.  Please fill in the form below and we will contact you as soon as we can to book your slot.  

 

Student Name *

Date Of Birth (If Under 18)

Parent/Carer/Guardian Name

(If Applicable)

Best Contact Number *

First Line Of Address *

Post Code *

Email Address *

Instrument *

Acoustic GuitarBass GuitarBanjoTrumpetTromboneCornetClarinetClassical GuitarClassical PianoDrumsElectric GuitarFluteGuitarKeyboardMandolinPianoSaxophoneSinging and Vocal TrainingTheoryUkuleleViolin

Days You Can Make: 1st Choice

Monday All DayMonday After 4pmTuesday All DayTuesday After 4pmWednesday All DayWednesday After 4pmThursday All DayThursday After 4pmFriday All DayFriday After 4pmSaturday amSaturday pmSunday amSunday pm

Days You Can Make: 2nd Choice

Monday All DayMonday After 4pmTuesday All DayTuesday After 4pmWednesday All DayWednesday After 4pmThursday All DayThursday After 4pmFriday All DayFriday After 4pmSaturday amSaturday pmSunday amSunday pm

Days You Can Make: 3rd Choice

Monday All DayMonday After 4pmTuesday All DayTuesday After 4pmWednesday All DayWednesday After 4pmThursday All DayThursday After 4pmFriday All DayFriday After 4pmSaturday amSaturday pmSunday amSunday pm

Describe Your Playing Level *

Complete BeginnerAdvancing BeginnerIntermediateAdvanced

Which Platform Would You Prefer To Use? *

WhatsAppFacebook Messenger

Do You Own An Instrument? *

Yes

No

All new students enter the academy with our 4 for 3 new student offer

Please Indicate How You Would Like To Pay For Your 443 Voucher, Or Let Us Know If You Have Already Purchased One

Yes, I bought in storeYes, I bought onlineNo, I Will Pay Now (A Payment Link Will Be Sent After You Have Completed This Form)No, I will Pay When You Contact Me To BookNo, I Have Been Given Gift VouchersNo, I Have A Free Lesson With An Instrument Purchase (Please State Invoice Number In Message Box Below)

Anything Else You Would Like To Tell Us?