Let's Get to Know You Better

Please complete this form on behalf of the student who will be taking sessions with BHVA.

Confirm your details please:

First Name *

Last Name *

Email *

Student details:

Student's First Name *

Student's Last Name *

Student's Date of Birth *

Student's Subject *

Voice/Piano/Flute/Music Theory

Voice
Piano
Flute
Music Theory
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Please choose which regular slot you are after *

Choose your date and time

Wednesdays 6-6.30pm (weekly)
Wednesdays 7-7.30pm (fortnightly)
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Please note down any medical conditions *

Do you give permission for a BHVA Team Member to administer First Aid and plasters *

Please select

Yes
No
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Do you give permission for BHVA to take and use photos and videos that can be used for marketing and social media *

Please select

Yes
No
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