* 1. What is your name?

* 2. How old are you?

* 4. Name of your Instrumental Teacher?

* 5. What Grade have you reached on your instrument?

* 6. Please let us know your email address so we can contact you with more information about the event

* 7. Please let us know your postal address so that we can contact you after the event

* 8. Please give us details of any medical concerns we should know about

* 9. Please could we have an emergency contact phone number for the day?

* 10. From time to time LSMS take photographs or video/DVD recordings for publicity or archive purposes which may be published or used as display and publicity material on the Leicester-Shire Music Education Hub website, The Leicester-Shire Music and  Cultural Trust website and/or brochures, leaflets and displays, newspaper/magazine articles, and in recordings of public performances. Please tick the appropriate box below...