Student Registration - Gurmat Sangeet Academy

Thank you for your payment to GSA

Student Details:

Use this form to register students from the same family. If you are under the age of 16 please ask a parent or guardian to complete the form. Enter the student(s) details below:

How Many Students Are You Registering?

Student Details:

Student Name:

Student Age:

Student Email:

Student Phone Number:

Student Instrument:

Does this Student Require a Hire Instrument?

2nd Student Details:

2nd Student Name:

2nd Student Age:

2nd Student Email:

2nd Student Phone Number:

2nd Student Instrument:

Does 2nd Student Require a Hire Instrument?

3rd Student Details:

3rd Student Name:

3rd Student Age:

3rd Student Email:

3rd Student Phone Number:

3rd Student Instrument:

Does 3rd Student Require a Hire Instrument?

4th Student Details:

4th Student Name:

4th Student Age:

4th Student Email:

4th Student Phone Number:

4th Student Instrument:

Does 4th Student Require a Hire Instrument?

Parent / Guardian Consent:

Parent / Guardian Name:

Parent / Guardian Contact Number:

Parent / Guardian Consent:

I give my consent for all students under the age of 16 to participate in classes with Gurmat Sangeet Academy

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Payment Details:

If you are unsure, please speak to your teacher to confirm the payment amount:

Class Fees 2022-2023

Employed: £211 per year

Students /Over 65 / Unemployed: £167 pa

Discounts: Families of 3 can benefit from 8% discount off total fees due.

Instrument Hire Fees:

Refundable deposit: £100.00

Fee per term: £40.00

Payment Includes (Please check all that apply):

Class Fees

Instrument Hire

Instrument Deposit

Payment Amount (£):

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Complete Your Registration:

Payment Amount:

First Name:

Last Name:

Email:

Phone Number:

Billing Address:

Postcode:

Summary

Description	Information	Quantity	Price
Discount :
Total :

Paypal Credit Card

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Make Payment

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