Drum Clinic 5 March 2017 Question Title * 1. Participant's Full Name Question Title * 2. Participant's Age Question Title * 3. Participant's School (if relevant) Question Title * 4. Parent Email (or participant email if participant is over 18) Question Title * 5. Medical conditions/medication being taken by the participant Question Title * 6. Emergency contact name Question Title * 7. Emergency contact phone number Question Title * 8. Level of participants current ability (e.g. grade)? Question Title * 9. Do you give us permission to use photos/video of the participant in our external publicity? Yes No Question Title * 10. How did you find out about this course? Recommended by teacher Promotional e-mail Berkshire Maestros website Word of mouth Promotional flyer/poster Facebook Twitter Other (please specify) Question Title * 11. 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 Register and go to payments page