Cotteridge Misfits: Register to take part
Fill in this short form so you can get involved with Cotteridge Misfits Monday's! We are open to adults (priority for ages 50+) who play any musical instrument, to any ability.
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Email *
You can optionally provide your phone number below.
This is not required but we know some people prefer text messages to emails!
What is your full name? *
What are your preferred pronouns? *
Required
What is your date of birth? *
You must be aged at least 18 years to take part.
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What is your first line of address? *
What is the second line of your address? *
What is the third line of your address?
What is your City/Town? *
Postcode *
Please tell us about any access, mobility requirements or disabilities you may have.
This could include any learning difficulties, disabilities, mental health problems etc. you think we should know about.
What instrument would you like to play with Cotteridge Misfits? (All instruments are welcome!) *
To approximately what level do you play this instrument? *
We ask this so we can give you a part that suits your ability!
Complete Beginner
Very Advanced
How comfortable are you with reading music notation? *
We also provide chord symbols for people that prefer to read these!
Not comfortable at all
Extremely comfortable
We ask our members to pay "subs" which help us cover the costs of running a session. Which option would suit you best? (Your first week is free!) *
Where did you find out about Cotteridge Misfits? *
By attending sessions you will have read and agreed to Misfits Music Safeguarding Policy and Code of Conduct on misfitsmusic.org.uk/policies. *
Find our policies on misfitsmusic.org.uk/policies
Required
Please confirm that you allow us to process and store personal information provided in this form in line with Misfits Music Data Protection Policy. *
Read our policy on misfitsmusic.org.uk/policies. You can ask us to delete your information at any time. We will only use your information to contact you about Misfits Music Activities and will never share with third parties.
Required
Do you have any other comments?
A copy of your responses will be emailed to the address you provided.
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