DASP Music Ensembles Application Form 2018-2019
Please use this form to apply for DASP Music Ensembles for 2018-2019. If you have any questions, please contact us at daspmusic@thomas-hardye.net or 01305 259721
Forename of Student *
Your answer
Surname of Student *
Your answer
School in Sept 2018 *
Your answer
Date of Birth (dd/mm/yyyy) *
Your answer
Year Group in Sept 2018 *
Your answer
Forename of Parent *
Your answer
Surname of Parent *
Your answer
Address *
Your answer
Home Phone Number
Your answer
Mobile Phone Number
Your answer
Email *
This will be our primary method of communication.
Your answer
Please give details of an Special Educational Needs of which it would be useful for us to be aware.
Your answer
Doctor's Surgery
Your answer
Surgery Phone Number
Your answer
Please select which ensembles you would like to join using the tick boxes below. *
Required
I confirm that I will pay the following amount per term to join the above ensembles.
Student's Instrument
Your answer
Approximate level, grade or number of years learning on that instrument
Your answer
I give permission for photographs and video to be taken of my child, for use in DASP Music publications or for use by the DASP schools.
No photos or video would feature names of students
I agree to the Terms and Conditions for DASP Ensembles and for DASP Music to store and use my data as detailed in the DASP Music Data Protection Policy and Privacy Notice as stated on the DASP Music website. *
Required
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