MLC-Academy online enrolment

This form and the data gathered herein together with other documents listed (below constitute a contract between the signatory and MLC-Academy, a trading name of Paul Hose Enterprises Limited (reg. No. 5544487) and by signing this form the signatory agrees to be bound by them.

IMPORTANT NOTICE: In addition to your copy of this form you should have been supplied with:

(a) Notes for Guidance;

(b) Terms and Conditions;

Each of these documents forms part of our contract with the signatory. If you have not been supplied with these documents please inform a member of staff and we will provide them. It is important that you read them and understand them before signing this document.

Name of student (family name 1st) *
Student DoB *
Name of Parent/Guardian (if student is under 18)
DoB of parent/guardian
Address *
Telephone *
Mobile *
Emergency contact and number *
Email address *
Faculty *NottinghamDistance
Course type *BassDrumsetGuitarPianoTheoryMLC SessionsSummer programmeHalloween BallGradesUndergraduatePostgraduateOther
Payment method *
Any notes (medial information/special requirements) etc. *
IMPORTANT - Please tick after reading the statement below *I agree

Type the following: For security purposes, please type the letters in the image.

By ticking the final box and in turn pressing send, you agree to the terms and conditions set out by MLC Academy and in particular, clauses 2 and 4. Click here to download your copy.