DOLCE MUSIC Academy

APPLICATION FOR MUSIC LESSONS

(FORM TO BE COMPLETED IN BLOCK CAPITALS) Affix

Passport
NAME OF STUDENT ………………………………………………………………………………….. Photographs

SEX…………….. AGE ……………. GRADE IN SCHOOL ………………………………………..

STUDENT’S DATE OF BIRTH (DD/MM/YYYY) ………………………………

HOME ADDRESS ………………………………………………………………………………………………

PRIOR MUSIC INSTRUCTION YES……. NO …….

IF YES, WHAT INSTRUMENT AND HOW LONG ………………………………………………………

MEDICAL CONCERNS ……………………………………

CONTACT INFORMATION (PARENT/GUARDIAN)

NAME…………………………………………………………………………… TEL ………………………………………..

E‐mail ………………………………………………………………………………….

I give permission for my child to be included in group photographs for concerts YES……. NO ……….

Signed (parent/carer) ……………………………………………………….. DATE ……………………………………..

Please tick an instrument

Violin Guitar Recorder Saxophone Piano Trumpet

OTHER (please specify) ……………………………………..

GENERAL GUIDELINE

Applications are entered onto our database as received. When a space becomes available
or there is enough demand to start a new lesson, you will be sent an invoice for the
lessons. Once you have replied with the appropriate payment, your child’s name will be
entered on the register. Please note that only some instruments are suitable for children
below 5 years old.

INSTRUMENTS / MATERIALS FOR LEARNING

Instruments: Students MUST have an instrument which they can use to practice at home.

Course Materials and Books: For certain lessons, course materials and books may be required in
order for the student to obtain the best possible learning instruction. It is the responsibility of the
parent or student to purchase required course materials when applicable. We have a selection of
course materials and books available for purchase.

If you wish to buy an instrument or Course Materials, please contact our administrator on
08032769515 for details.

CONTINUITY AT HOME

Once your child is learning, it is important that you take an active interest, communicating with the
teacher through the Student Progress Book and encouraging them to practice daily.

For technical enquiries please contact the Assisted Instrument Purchase (AIP) scheme on
08056599111

ATTENDANCE:

Regular attendance is expected of all students except for

- Student illness: The teacher must be notified 24 hours before the scheduled time to qualify
for a makeup class. Only one lesson per month will be made up for all involved.
- Teacher’s absence: Any lesson missed as a result of the teacher’s absence will be made up.

Late Students: Due to the fact that our classes are scheduled back to back we are unable to make
up time for students who arrive late for their lesson.

Schedules: Every Wednesday and Friday (1700hrs – 1830hrs)

Venue: Playgroup School, beside RA International School, NLNG RA.

REGISTRATION:

Registration Fee: A non-refundable registration fee 1,000 naira is required at the time of
registration.

Payment of Fees: Monthly fees should be paid and confirmed at the beginning of the month.

Please note: Your lessons will commence ONE WEEK after we receive completed paper work and
full payment for lessons.

CERTIFICATION:

Students will be eligible for the i) Associated Board of Royal Schools of Music (ABRSM), London. ii)
Musical Society of Nigeria (MUSON), Lagos.

*REMINDER: CLASSES FILL ON A FIRST COME FIRST SERVED BASIS AND YOUR SPACE
WILL NOT BE HELD UNTIL YOUR REGISTRATION FORM AND FEES ARE RECEIVED

** Payments to be made directly into our bank account Maryann Ajibade, GTB: 0106942201

Please email your payment confirmation to dolcemusicentre@gmail.com.

The Administrator
Dolce Music Academy
Bonny Island
Dear Sir/Ma,

LETTER OF UNDERTAKING (PARENT/SPONSOR)

I, ……………………………………………………….., hereby undertake that my ward,

(name of parent / sponsor)
……………........................................................., offered provisional admission into your
(name of candidate)

Music Academy for the year …………. session shall be of good behaviour and shall
comply with the rules and regulations of the Academy.

He/She shall not in any way damage any equipment/Instrument belonging to other student
through his/her actions.

I also undertake to accept in good faith to pay for any equipment/Instrument damaged by
my ward through his/her actions.

Name of Parent/Sponsor: ….….…………………………………………………..

Address: …………………………………………………………………….
……………………………………………………………………..
……………………………………………………………………..
Telephone No: …………………………………………………………………………….
E-mail: …………………………………………………………………………….
Signature: …………………………………………………………………….
Date: …………………………………………………………………….