'It's Christmas!' Music Workshop
Holiday Music Workshop Booking Form
20 December 2017 to 22 December 2017, 10am to 3pm
Grace Church, 119 Peppard Road, Emmer Green, Reading, RG4 8TR
Student Details
Student Name *
Your answer
Current School Year *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Home Address *
Your answer
Contact Telephone Numbers for parents/students *
Your answer
Contact email addresses for parents/students *
Your answer
Instrument played (if any) and level working at *
Your answer
Photographing/Filming Students
I agree to my son/daughter being photographed for publicity purposes during the Berkshire School of Music workshop, rehearsal or performance. I understand that a DBS checked adult will be present at all times while the photographs are taking place. I also give permission for any workshop, rehearsal or performance to be filmed. *
Required
Medical Details
Please identify any medical conditions that we should be made aware of for the student
Your answer
Workshop Fee
The student will participate in the holiday workshop between 20 December 2017 and 22 December 2017.
WORKSHOP FEE - £90.00 *
Required
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