Grimethorpe Besson Youth Band
Student Registration Spring Workshop 2015
Student Full Name *
Your answer
Age *
Instrument(s) *
Your answer
ABRSM (or equivalent) grade *
Students must have reached a minimum of grade 4 or provide (by email) confirmation of their playing standard from their music teacher
Your answer
Current Address *
Your answer
School / College Name and Address
Your answer
Bands Attended
Your answer
Parent Name(s) *
Your answer
Parent email address *
We will use this address to communicate with you regarding this or future events
Your answer
Parent telephone numbers *
Your answer
Parent Contact Mobile number(s) *
Please provide a number on which you can be contacted in an emergency during the workshop
Your answer
Medical - Doctor's Name
Your answer
Medical - Doctor's Telephone number
Your answer
Medical conditions / Allergies etc.
Your answer
Repertoire Suggestions
Please tell us if you have any repertoire suggestions
Your answer
Please provide any other information you consider relevant to this event
Your answer
Parental approval. I give permission for my child to attend the GBYB event *
Parents wil be asked to sign to confirm approval on arrival at the workshop
Required
Parental Approval - I give permission for you to take and use photographs *
Grimethorpe Besson Youth Band, Grimethorpe Colliery Band or Besson (Buffet Group) may use photographs or videos for publicity purposes.
Required
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