Arpeggione Intermediate Course Application
31st July - 4th August 2022
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Child’s Name *
Parent’s Name *
Address *
Date of Birth *
MM
/
DD
/
YYYY
Home Telephone Number *
Mobile Phone Number *
Email address *
Is viola or cello the child’s 1st study? *
Required
Approximate grade?
If 1st study violinist, approximate grade?
Present teacher & phone number *
I would like him/her to take part in the course competition. *
Piece downloadable from the website & to be played by memory.
Required
Would you like your child to do a masterclass? *
Own choice piece. Please bring piano part.
Required
Please list courses, competitions & musical experiences.
Any medications your child needs to take? *
Any dietary requirements?
Not including allergies.
Allergies?
Genuine allergies only.
Arpeggione T-Shirts
For all concerts, students need an Arpeggione t-shirt, which can be purchased on the course for £10. If you don’t already have one, please choose an approximate size below.
How did you hear about Arpeggione?
How to pay:
For bank transfer, please contact Jacky Woods at:

arpeggionejacky@gmail.com

for details.

To secure a place, please send the £100 deposit by 01/04/2022
The second instalment of £200 is due 01/05/2022
The final payment of £260 should be paid by 01/06/2022

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