Instrumental Music Program

Fields marked with * are required.

Student's Name(Required)

Year Level (2026)(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Number(Required)

Are you a Boarder or Day Student?(Required)

Boarder

Day Student

My child wishes to commence/continue Music tuition in 2026

Instrument(Required)

Instrument hire required(Required)

Yes

Preferred Teacher (if any)

Additional comments

I have read and understood, and agreed to be bound by the conditions, published in the Instrument Music brochure, under which Instrumental Tuition and Instrumental Hire is available at Bunbury Cathedral Grammar School.

I agree to provide 4 weeks notice to discontinue lessons

I acknowledge lesson and hire charges

Signature of Parent/Guardian(Required)

Todays Date(Required)

DD slash MM slash YYYY

Name of Parent/Guardian(Required)

First Last

Email of Parent/Guardian(Required)