Pupil Detail Change Form

Should any details change please complete this form in order that your records may be amended.

Pupil Name *

Date of Birth//

Name of Parent/Carer

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Mobile Phone

New Type of Lesson

*Please note that if you are applying to change to piano lessons, this is only offered on an individual tuition basis.

New Ensemble Membership

Date change takes effect//

Phone