Orchestral Weekend 15th -17th October 2021

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Junior & Senior Orchestral weekend sign up form

Student details

Name of student *

Date of Birth *

YYYY

Year group as of September 2021 *

School *

Address *

Instrument and grade (approx.) *

I am applying for:

Junior Orchesta

Senior Orchestra

Clear selection

I am a member of the following LMT ensemble(s)/organisation(s)

Cheshire East Youth Choir

Junior Big Band

Senior Big Band

Nantwich Young Voices (younger pupils)

Nantwich Youth Choir (older pupils)

Junior Percussion Ensemble

Senior Percussion Ensemble

Sandbach Young Voices

Saxophone Orchestra

String Sinfonia

Samba School

Folk Ensemble

I am a member of the following hub partner ensemble(s)/organisation(s)

Congleton Youth Orchestra

Co-operative Wind Bands

Foden's Youth Band

Lions Youth Brass

Macclesfield Music Centre

Macclesfield Youth Brass Band

Poynton Music Academy

Poynton Youth Brass Band

RePlay Strings (Fallibroome Academy)

SO Strings

Emergency Contact Information

Parent name *

Parent Email address *

Contact Number *

Emergency Contact Number *

Any other info, eg Medical Conditions/Allergies we should be aware of *

Yes

If yes please give details below

Please follow the link to set up a Go Cardless Mandate and tick to confirm this has been done. The Love Music Trust will be in contact in due course to arrange the payment for the Orchestral event. https://pay.gocardless.com/AL000064TFDK31 *

I have followed the link and set up a mandate

Photographs permission *

I DO give permission for photographs of me/my child to be used in publicity material for this and other events, including the LMT website. I understand that all images will be anonymous.

I DO NOT give permission for photographs of me/my child to be used in publicity material for this event and other events, including the LMT website. I understand that all images will be anonymous.

'Barlines' is the half-termly newsletter from the Love Music Trust, providing information on our ensembles, events and forthcoming projects as well as celebrating musical success in schools. Recipients can unsubscribe at any time, should they wish to stop receiving 'Barlines'.

Please add my email address to the distribution list for 'Barlines' - I understand that I can opt-out from this at any time

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