Application for music lessons or ensemble membership

Before applying please read about the lessons or ensembles you're applying for and read our terms and conditions.

Completing this form means you'd like to apply for lessons or ensemble membership with us. If you just want to find out more or make an enquiry please contact us instead.

Child's details

Child's full name
Date of birth enter as yyyy-mm-dd
Does the child have any special educational needs?
If yes, please give details

Parent/Carer details

Parent/Carer’s full name
Relationship to the child
House name/number and first line of address
Address line 2
Post code
Parent/Carer’s telephone number
Parent/Carer’s email address
Are you applying for an assisted place?
- more details of eligibility (new window/tab)
Who will be paying the fees?

Payer's details

Payer's title
Payer’s full name
Payer's relationship to the child
Payer's house name/number and first line of address
Payer's address line 2
Payer's town
Payer's post code
Payer’s telephone number
Payer’s email address

Application Type

What are you applying for?

Music lessons at secondary school or at a music centre

Instrument you wish your child to learn
We offer lessons in string, woodwind, brass, keyboard, vocals and percussion.
Has the child had lessons on this or any other instrument before?
If so, please specify what instrument and the standard they have reached - for example grade reached or an example of a piece learnt. If not please write No.
Which school does the child attend?
Do you want to hire an instrument from us?
Info re instrument hire

Lesson details
We offer 10 lessons per term
Are you applying for lessons in school or at a music centre?

What type of lesson are you applying for?

Ensemble membership

Hounslow Music Service runs a structured, progressive programme of bands, orchestras and ensembles for instrumentalists. Players must be having lessons either through Hounslow Music Service or privately, and acceptance to an ensemble will be dependent on a pupil having the necessary skills and level to join, as well as a place being available.

Which instrument does your child wish to play in an HMS ensemble?
Current standard (please state grade if any exams have been taken)
Length of time learning?
Please tick which ensemble(s) your child would like to apply for.
Details about each ensemble including rehearsal times and required standards for each ensemble can be found here (opens in new window or tab).


Declaration A I understand that my choice of lesson type and music centre are subject to a teacher being available:
Declaration B I have read and accept the terms and conditions and agree to abide by them:
Please tick the box if you do not wish you or the child you are applying for to appear in any publicity material (photos, DVDs etc) that may be used for promotional purposes by HMS.
Any other comments or requirements?
Supported using public funding by
Hounslow Music Service
64A Pears Road
020 3325 3142

Registered charity no. 1165778
accepted payment cards
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