BOOKING SUMMARY - SCHOLARSHIP ASSESSMENT - Chelsea Quavers Music School

BOOKING FORM
Your Name*
Email*
Phone Number*
Autumn Term 2019
- Saturday Club Juniors (Age 4-7)
- Saturday Club Seniors (Age 8-12)
- Eaton Square Music Theory
- Wetherby After School Club
Add more Saturday Club dates to an existing booking
- Additional Autumn Term Dates
Holiday Music Workshops
- Christmas Music Workshop
CQ Book Bag
Please help us raise funds for instruments, materials, and development of our syllabus by purchasing one of our light-weight, practical book bags.
- Yes I would like a Book Bag/s

Saturday Club Juniors Spring 2019 - Age 4 to 7
Available Dates: 13th Jan, 20th Jan, 27th Jan, 3rd Feb, 24th Feb, 3rd Mar, 10th Mar, 17th Mar, 24th Mar.
Number of Children*
Child 1 Name*
Child 1 Date of Birth*
Child 2 Name*
Child 2 Date of Birth*
Child 3 Name*
Child 3 Date of Birth*
Choose Number of Dates
Choose Dates*
Please select your dates below once you have chosen the number of dates above.
- 13th Jan
- 20th Jan
- 27th Jan
- 3rd Feb
- 24th Feb
- 3rd Mar
- 10th Mar
- 17th Mar
- 24th Mar
Fees Payable
Fees are based on £45 per day. The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Saturday Club Seniors Spring 2019 - Age 7 to 12
Available Dates: 13th Jan, 20th Jan, 27th Jan, 3rd Feb, 24th Feb, 3rd Mar, 10th Mar, 17th Mar, 24th Mar.
Number of Children
Child 1 Name*
Child 1 Date of Birth*
Child 2 Name*
Child 2 Date of Birth*
Choose Number of Dates*
Choose Dates*
Please select your dates below once you have chosen the number of dates above.
- 13th Jan
- 20th Jan
- 27th Jan
- 3rd Feb
- 24th Feb
- 3rd Mar
- 10th Mar
- 17th Mar
- 24th Mar
Fees Payable
Fees are based on £45 per day. The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Christmas Music Workshops
Mon 16 Dec, Tue 17 Dec, Wed 18 Dec, Thu 19 Dec, Fri 20 Dec | 2.00pm-5.00pm
Number of Children
Child 1 Name*
Child 1 Date of Birth*
Would you like this child to have 1:1 piano lessons?
An additional charge of £20 per day will be added to your total further below
Child 2 Name*
Child 2 Date of Birth*
Would you like this child to have 1:1 piano lessons?
An additional charge of £20 per day will be added to your total further below
Choose Number of Dates
Choose Dates*
Please select your dates below once you have chosen the number of dates above.
- Mon 16 Dec
- Tue 17 Dec
- Wed 18 Dec
- Thu 19 Dec
- Fri 20 Dec
Fees Payable
The figure below will automatically update to show your cost.

Wetherby After School Club Spring 2018
17 Jan, 24 Jan, 31 Jan, 7 Feb, 21 Feb, 28 Feb, 7 Mar, 14 Mar, 21 Mar.
Number of Children
Child 1 Name*
Child 1 Date of Birth*
Child 2 Name*
Child 2 Date of Birth*
Child 3 Name*
Child 3 Date of Birth*
Fees Payable
The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Wetherby After School Club Summer 2019
7 Dates: 1 May, 8 May, 15 May, 22 May, 5 Jun, 12 Jun, 26 Jun. 4.00pm-5.00pm Wednesdays
Number of Children*
Child 1 Name*
Child 1 Date of Birth*
Child 2 Name*
Child 2 Date of Birth*
Fees Payable
The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Wetherby After School Club Autumn 2019
Available Dates: 11-Sep 18-Sep 25-Sep 2-Oct 9-Oct 16-Oct 6-Nov 13-Nov 20-Nov 27-Nov 4-Dec | 4.00pm-5.00pm Wednesdays
Number of Children
Child 1 Name
Child 1 Date of Birth
Child 2 Name
Child 2 Date of Birth
Fees Payable
The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Eaton Square Music Theory Club Spring 2018
17th Jan | 24th Jan | 31st Jan | 7th Feb | 21st Fab | 28th Feb | 7th Mar | 14th Mar | 21st Mar
Number of Children*
Child 1 Name*
Child 1 Date of Birth*
Child 2 Name*
Child 2 Date of Birth*
Child 3 Name*
Child 3 Date of Birth*
Fees Payable
The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Eaton Square Music Theory Club Summer 2019
9 Dates: 1 May, 8 May, 15 May (Y 6 away this week), 22 May, 5 Jun, 12 Jun, 19 Jun, 26 Jun, 3 Jul. 7.45am-8.45am Wednesdays
Number of Children*
Child 1 Name*
Child 1 Date of Birth*
Child 2 Name*
Child 2 Date of Birth*
Fees Payable
The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Eaton Square Music Theory Club Autumn 2019
10 Dates: 25-Sep 2-Oct 9-Oct 16-Oct 30-Oct 6-Nov 13-Nov 20-Nov 27-Nov 4-Dec. 7.45am-8.45am Wednesdays
Number of Children*
Child 1 Name*
Child 1 Date of Birth*
Child 2 Name*
Child 2 Date of Birth*
Child 3 Name*
Child 3 Date of Birth*
Fees Payable
The figure below will automatically update to show your cost. There is an additional fee of £17.50 per student for folders & workbooks and is included in the cost below.

Chelsea Quavers Book Bag
Choose Quantity*
Delivery Options*
These bags can be posted to your address for an additional £3.00 to cover postage and packaging. Alternatively pupils are able to collect these in person (at no additional cost) from their club/workshop.
- Post
- Collection from Club
Delivery Address*
Fees Payable
The figure below will automatically update to show your cost.
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BOOKING FORM