Brent Music Service
Claremont High School
Claremont Avenue
Kenton
Middlesex
HA3 0UH
CHILDREN & FAMILIES
Tel: 020 8204 8096
Fax: 020 8238 9649
Email: info@brentmusicservice.com
Web: brentmusicservice.com
School Tuition Change of Hours Request Form
School Name: __________________________________
Contact No:________________________
Requested by (name): _________________________________________________
Tuition Request (Please fill in where applicable)
Any increase in hours must be authorised by the school. Hours cannot be changed until after each
half-term. Schools should not decrease their hours during the term as per your signed Service Agreement.
Lesson Type: _____________________
No of Hours:
_______________
Effective From: _______________
Preferred Day: _______________
Lesson Type: ________________
No of Hours:
_______________
Effective From: _______________
Preferred Day: _________________
I understand that any new request for tuition will be subject to the availability of a suitable tutor.
Signed (on behalf of the school):___________________________
2009-2010
Date:_____________________
BMS – Form P