Student Registration Form

Student Registration Form

Fill out the form carefully to register for the waiting list
Prospective students are advised to join the Rubato Music Tuition waiting list at the earliest opportunity as lessons are in high demand and the timetable fills up quickly every term.

Students are encouraged to begin lessons around age 7-8 (in Year 2-3), although younger players may be considered. Of course, older beginners, experienced pianists and returners are very welcome too.

To join the waiting list, please read the privacy notice and complete the registration form below.
Student Name*

First NameLast Name
Date of birth of Student*

DayMonthYear
Preferred pronoun*
Contact Name (parent/ carer if student is under 18 years)

First NameLast Name
Contact email (parent/ carer if student is under 18 years)*
example@example.com
Contact mobile phone (parent/ carer if student is under 18 years)*
Please enter a valid phone number.
Address of Student*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School attended by Student
Student's current academic year
Name of any other family members currently registered with Rubato Music Tuition (if applicable)
I am interested in (tick all that apply):

Piano lessons: 1:1 at the Horsham StudioPiano lessons: 1:1 at St. John the Baptist School, WokingPiano lessons: 1:1 at St Teresa's School, EffinghamPiano lessons: 1:1 onlineMusic Theory: group course onlineCoaching for Teachers
Current piano ability of student*

Beginner (no previous experience)Early Learner (up to Grade 2 standard)Improving Player (Grade 3-5 standard)Experienced Performer (Grade 6 standard and above)Returner (please state previous achievements below)Teacher
Previous musical experience
Please include name(s) of teacher(s), graded exams, recital/festival experience and any other instruments if applicable
Any other information you think we should know, including SEND
I have read, understood and accepted the Privacy Notice*

Yes
We would like to send you information about our services, by telephone, email and/or SMS. Please note that if you consent to being sent our information by email then your data will be shared with the third party organisation Mailchimp who will make contact on our behalf. If you agree to being contacted this way, please tick the relevant boxes:

EmailPhoneSMS
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