SPRING Music Making '23 - Poole Society for Young Musicians
Please ensure you complete all of the required fields below. We look forward to welcoming you to our Spring Music Making 
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Email *
Student Name *
Age *
School Attended *
Parent/Guardian Full Name *
Parent/Guardian Mobile Number *
Parent/Guardian Emergency Number *
Instruments(s) Played *
Grades Achieved (order by Instruments(s) Played) *
Highest Music Theory Grade Achieved
Please select all activities that you would like your child to attend
Do you give permission for your child's photo to be taken and used for publicity/marketing material for Poole Society for Young Musicians and our partners? *
Medical details and treatments: Please provide details of any conditions you feel we need to be aware of 
 *
Any other information that you feel that you wish to add to the above
E-mail Address *
I agree to pay the fee by the deadline given and understand that my child's place will only be secured once I have received confirmation of acceptance on to the courses and the fee has been paid. Non-receipt of fees by the date required, unfortunately, will result in your child's place being offered to someone on the waiting list. Details of how to pay will follow with further correspondence from Alison Kay.
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How did you hear about Poole Society for Young Musicians? *
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