Young person's name *

First Name

Last Name

Gender identity pronoun - how should we refer to the young person? *

She/Her/Hers

He/Him/His

They/Them/Theirs

Parent / carer's name *

First Name

Last Name

Shared lessons

Group lessons (3 pupils in 30 minutes, 10 minutes per pupil in other shared lessons)

Paired lessons (2 pupils in 30 minutes, 15 minutes per pupil in other shared lessons)

Individual lessons

20 Minutes

30 Minutes

45 Minutes

60 Minutes

Merit Award lessons

20 Minutes

30 Minutes

45 Minutes

60 Minutes

I give consent to my child being filmed during sessions for assessment and evaluation *

Yes

No

I give consent to my child being photographed, filmed or recorded at CMA events and performances for an internal audience *

Yes

No

I give consent for my child being photographed, filmed or recorded at CMA events and performances which is shared with a digital audience *

Yes

No

I give permission for my child’s name to be published in printed programmes *

Yes

No

I give permission for my child’s name to be published in CMA publicity *

Yes

No

Select from the below to apply for help with fees

My child is eligible for Free School Meals

My child is a Looked After Child

My child does not receive free school meals but I would find it hard to pay the full fee