Gloucestershire Academy of Music - Easter Holiday Courses 2019
Please use this form to apply for a place on one of our Easter courses
Please select the course you would like to attend
Bow It (8-10 April)
Blow It (8-10 April)
Adult Chamber (12-14 April)
Adult Bow It (12-14 April)
Full name of person attending
Date of Birth (dd/mm/yyyy)
Prefer not to say
Contact email address
Contact telephone number
Approximate standard of playing
Above grade 8
Other instruments played and standard
How did you find out about this course?
Attended a GAM course previously
Recommended by a friend or teacher
Do you have any health issues that we should be aware of, including allergies?
Do you have any barriers to learning that we should be aware of?
Emergency contact information
Please provide names and contact numbers for two people who can be contacted in an emergency.
Name and telephone number of emergency contact no. 1
Name and telephone number of emergency contact no. 2
Photographs/videos of students may be taken during the course that may be used for marketing and promotional purposes by Gloucestershire Academy of Music, including on social media.
Please tick which applies to you:
I give consent for photographs and/or video to be used in GAM marketing material
I do not give consent for photographs and/or video to be used in GAM marketing material
Payment and booking
1. Your booking is only confirmed once we have received a completed booking form and deposit payment.
2. If you wish to cancel your booking, written notification (which includes email) must be received as soon as possible.
3. The following charges apply from the date we receive written notice as stated above: a) more than 12 weeks prior to the course: loss of deposit; b) 8 to 12 weeks prior to the course start date: 50% of the cost of the course; c) less than 8 weeks prior to the course: 100% of the cost of the course.
4. We reserve the right to make changes to the course such as changes of named tutors and the location of the course. We will aim to notify you in advance of any changes that are necessary.
5. If for any reason we need to cancel the course we will refund any monies already paid by yourself.
Please tick as applicable:
I have paid £50 by bank transfer to Sort Code 40-52-40 Account Number 00031239, quoting the name of the person attending the course as reference
I will pay by cheque, payable to Gloucestershire Academy of Music, and post it to GAM, Barbican Huse, 31 Barbican Road, Gloucester, GL1 2JF
Thank you for your booking.
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