* 1. Pupil's first name and surname

* 2. Pupil's age

* 3. Any medical conditions/medication we need to be aware of?

* 4. Instrumental teacher

* 5. What is your current level of playing?

* 6. Are you a member of any music centre groups? If so please say which one(s).

* 7. Parent/Carer name (including title)

* 8. Parent/Carer emergency contact details

* 9. Parent/carer email address

* 10. Do you give permission for photos/videos of the participant to be used in our external publicity, social media and website?

* 11. How did you find out about this event?

* 12. I agree to you using my e-mail address to contact me:

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