FRM-032:1 Music Tuition Program Withdrawal

Music Tuition Program Withdrawal
Student Name*
Year Level*
Campus*

CarramarDuncraig
Tutor Name*
Feedback: can you please let us know why your child is withdrawing from music lessons?*
Guardian name*
Guardian email*
Phone number*
Did you hire an instrument (if Yes, a link will be automatically sent for completion)*

YesNo
Withdrawal Notification and Confirmation

Withdrawal from the Music Tuition program requires a one-week notice period. You will receive confirmation from Music Administration that your withdrawal form has been processed.

A receipt of instrumental service no older than two weeks from one of the preferred providers below must be returned with the instrument to a Music Suite Office

Woodwind & Brass Instruments

Flute, Clarinet, Saxophone, Bass Clarinet

Musical Instrument Repairs WA
Unit 2 / 37 Boranup Avenue
Clarkson WA 6030
Contact: 9408 5762

Brass

French Horn, Cornet, Trumpet, Trombone, Baritone, Euphonium, Tuba

Brass Repairs
Mr Robert Gladstones
Email: frasercat@live.au

Strings

Violin, Viola, Cello, Double Bass
Please ask Music Tutor to advise what is required to be serviced or replaced first

WA Music Company
Innaloo Shopping Centre
1/3 Morris Place
Innaloo WA 6018
Contact: 9244 9559
Acknowledgement
I acknowledge the notification period and confirm that I wish to withdraw my child from the Music Tuition program.
Notification period*

One-week
Guardian Signature*

Clear
Date*

DayMonthYear
Please verify that you are human*
Submission Date*

DayMonthYear
Should be Empty:

Music Tuition Program Withdrawal

Withdrawal Notification and Confirmation

Acknowledgement