Student Details First Name Campus Year Level Surname Mentor Group Lesson Details Instrument Instrument Hire Please selectYesNo Years Learning This Instrument Instrument Hire * I/we agree to hire the instrument described above and understand a AU$100.00 bond will be charged and AU$75.00 hire fee charged each term. Parent/Guardian Details First Name Phone (Day) Surname Phone (After Hours) Email Address * Student Agreement * I agree to participate in an ensemble or choral activity as part of my commitment to music at Gippsland Grammar. Parent/Guardian Agreement * I agree to the music tuition Terms & Conditions. I understand that this submission remains in force from year to year, until notice of a change in instrument or teacher, or cessation of lessons is received. Music Tuition Terms & Conditions Parent/Guardian Agreement * I agree that FIVE WEEKS WRITTEN NOTICE OF TERMINATION IS REQUIRED. Please address this to the Director of Performing Arts. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 16 + 0 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.