Music Theory Course 2019 Enrolment
Please complete this form to enrol on the Music Theory Course 16-18 April 2019.
First name and surname of participant
Age of participant on 16 April 2019
Does the participant have any medical conditions/medication that we should be aware of?
Does the participant have any specific learning difficulties? Please outline them if so.
Parent/Carer/next of kin name (including title)
Parent/Carer/next of kin emergency contact details
Main instrument of participant
Current grade on main instrument
I acknowledge my commitment to/ensuring my child commits to:
The participant will have familiarised themselves with the Music Theory in Practice workbooks (or equivalent) up to (and including) grade 5 prior to the course
The participant will complete and submit all the homework that is set following the course
Making all necessary arrangements to register myself/my child for the ABRSM Grade 5 Music Theory exam
Permission to use images of the participant
During the day we will be taking photos/video for use in our publicity (i.e. website, social media, printed leaflets/posters/brochures, press, amongst others) to promote our short courses and the work that we do. Before we or they take any images of you/your children we ask for your consent to both take and use such images. Please indicate your consent below. You may withdraw this consent at any future date in writing by e-mailing us at
. The copyright of all images that we take will be held by Berkshire Maestros. N.B. Under GDPR regulations, young people of THIRTEEN years or older must give consent for themselves – parents/carers can no longer give consent on their behalf.
I am the parent/carer of the participant: my child is under 13 and I give consent for their images to be taken and used according to the terms above.
I am the parent/carer of the patricipant: my child is under 13 and I do NOT give consent for their images to be taken and used.
I am the parent/carer of the participant: my child is aged 13 or over. (At a later date Berkshire Maestros will arrange for your child to be asked directly if they consent to their images being taken and used.)
I am the patricipant: I am aged 13 or over and I give consent for images of me to be taken and used according to the terms above.
I am the patricipant: I am aged 13 or over and I do NOT give consent for images of me to be taken and used.
How did you find out about this event?
Recommended by teacher
Berkshire Maestros website
Word of mouth
I agree to you using my e-mail address to contact me:
About this course only
About this and all other courses run by Berkshire Maestros
About all courses, concerts and other activities run by Berkshire Maestros
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