Music Exam Entry Form
Please note that students will not be entered until their form is complete, thank you.
Students full name (as it will appear on certificate)
*
Birth Date
*
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Student's school year (e.g. Reception, Yr 6)
*
Your Name
*
Your relationship to the student
*
Home Address
*
Street Address
Street Address Line 2
City
Post Code
Parent's E-mail
*
example@example.com
Your Mobile Phone Number
*
Does your child have any medical issues that we should be aware of?
*
Please Select
Yes
No
Please read the information sheet below for details of the examination day. A copy will be sent to you via email upon submission of this form.
DECLARATION: By signing I confirm I have read the information sheet attached and agree to abide by any instructions provided.
*
Please print your name below
*
Exam entry options: Please select the relevant exam you wish to enrol for.
*
prev
next
( X )
Instrumental and Singing Exam Entry
Please select correct Grade/ Level *accompaniment fee added into each grade cost
£
58.00
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
ARSM Diploma
Theory Exam Entry
Please select correct Grade/ Level
£
42.00
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Entry Fee
£
5.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit Application
Should be Empty: