BOOKING FORM
Where did you find out about Grinds at Home?
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Allhonours.ie
Music shop (please specify where below)
Newspaper advert
Poster (please specify venue below)
Radio advert
Recommended
Schooldays.ie
Tutor referral (please give tutors name below)
Websearch
Your full name
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Student's full name
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School subject
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Accounting
Biology
Business
Chemistry
Economics
English
French
Geography
German
History
Irish
Italian
Mathematics
Music
Physics
Science
Spanish
Primary English
Primary General
Primary Irish
Primary Mathematics
School level
Please Select
Junior Certificate Foundation
Junior Certificate Ordinary
Junior Certificate Higher
Leaving Certificate Foundation
Leaving Certificate Ordinary
Leaving Certificate Higher
Primary
First year
Second year
Fifth year
Third Level
Period of Tuition
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Ongoing
Intensive Easter Revision 6 hours
Intensive Easter Revision 12 hours
Are you aware of the 95 euro agency fee?
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Please Select
YES
Musical instrument
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Cello
Clarinet
Drums
Flute
Guitar
Harp
Keyboard
Music Theory
Percussion
Piano
Recorder
Saxophone
Trumpet
Violin
Voice
Music grade
Please Select
Music grade I - III
Music grade IV - VI
Music grade VII - VIII
Tutor experience
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Please Select
Standard 37 euro
Premium 49 euro
Third Level €59
One-to-one / group tuition & hours per week
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Please Select
Individual - 1 hour per week
Individual - 2 hours per week
Individual - 3 hours per week
2 students - 1 hour per week
2 students - 2 hours per week
2 students - 3 hours per week
3 students - 1 hour per week
3 students - 2 hours per week
3 students - 3 hours per week
Can the student travel for lessons?
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Please Select
Yes, if no tutor can come to our home
Yes, the student would prefer to travel
No
Full address
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Email
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Landline Tel no.
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Mobile Tel no.
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Additional information
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