24 - 25 July

* 1. Participant's first name and surname

* 2. Participant's age on 24 July 2017

* 3. Medical conditions/Medication

* 4. Does the participant already play the ukulele or any other instrument?

* 5. What is the participant's current level of playing?

* 6. Does the participant have any specific learning difficulties?

* 7. Will you be providing your own ukulele or do you intend to order one through us for this course?

* 8. Parent/Carer name (including title)

* 9. Parent/Carer emergency contact

* 10. Parent/carer email

* 11. Do you give us permission to use photos/video of the participant in our external publicity?

* 12. How did you find out about this course?

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

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