Teaching DipABRSM booking for non PTC Alumni

Your Name (required):

Your Address (required):

Your Postcode (required):

Your Landline (required):

Your Mobile (required):

Your Email (required):

Your Music Qualifications (required):

Date of Grade 8, or higher, piano exams (required):

Do you have Grade 6 theory?

NoYes

Do you have Music "O" Level or GCSE?

NoYes

Do you have Music "A" Level?

NoYes

Do you have any other Qualifications:

Your Music Background - tell us more (required):

How many current pupils do you have?:

Are you a member of any of the following organisations?

EPTA
ISM
MU
None of the above

How did you hear about The PTC TeachingDip ABRSM coaching?

Do you have any Dietary Requirements:

Do you have any Medical Conditions (e.g. allergies, epilepsy, asthma, physical disabilities, mental health issues and on-going medication) which may affect you during the course:

Fees

The full course, including accommodation and meals is £2,600

Choose a Payment Option

Option A (Payment in full)                         Option B (Payment by instalment)

Agree Terms

• I agree to abide by the terms and conditions of my Payment Option Plan
• I will email a scanned copy of my Grade 8 piano, or higher, certificate to the PTC Administrator
• A payment of the non-refundable deposit of £550 will be required after this form is submitted, to secure my place

How do you wish to pay the deposit?

PayPalDirect Bank Transfer

I agree to the terms and conditions