NEW IRISH YOUTH ORCHESTRA
REGISTRATION FOR NEW IRISH YOUTH ORCHESTRA WORKSHOP -
Saturday 1st April 2017 - Glenabbey Church, Ballycraigy Road, Glengormley, BT36 5ZZ
Child's Surname *
Your answer
Child's Forename *
Your answer
Date of Birth *
Your answer
Age on 1st April 2017 *
Your answer
School Attended *
Your answer
Current School Year *
Your answer
Home Address *
Your answer
Name of Parent/Guardian *
Your answer
Email Address of Parent/Guardian *
Your answer
Landline number for Parent/Guardian *
Your answer
Mobile number for Parent/Guardian *
Your answer
Orchestral instrument played by child *
Your answer
Please list the grades your child has completed (Minimum standard for workshop - working towards Grade 5) *
Your answer
Any other relevant musical experience, eg. member of Music Service orchestra etc.
Your answer
Does your child have any medical issues we should be aware of? If yes, how should they be managed? *
Your answer
Does your child have any special dietary requirements? If yes, how should they be managed? *
Your answer
I give my permission for photos and video to be taken during the workshop day, which may be used for future New Irish publicity *
I agree to pay £25 to cover the costs of my child's participation in the workshop day. (Payable at registration on the day) *
Submit
Never submit passwords through Google Forms.
This form was created inside of New Irish Arts. Report Abuse - Terms of Service - Additional Terms