IOW Music Centre Enrolment Form 2021
THIS FORM MUST BE COMPLETED BY A PARENT/CARER, UNLESS THE PARTICIPANT IS OVER 18

In order to comply with legislation concerning children's performances we must have a Body of Persons (BOPA) licence. For our application for a BOPA to be accepted this form to be completed.
Failure to complete the form will mean that your child will be unable to take part in performances/concerts.
Please let us know immediately if any of the following information changes after submitting this form (ie. change of address/contact details/medical information) so that we can update our records.

Covid-19 - this form must be completed to ensure we have the necessary contact information for Test and Trace.

PRIVACY NOTICE
Southampton City Council is collecting this information in order to perform this service or function, and if further informatoin is needed in order to do so, you may be contacted using the details provided. In performing this service, the Council may be required to share your information with other organisations or departments, but it will only do so when it is necessary in order for the service to be provided.
The Council may also share personal information for the purposes of the prevention, investigation, detection, or prosecution of crimial offences, but will not share personal information, or use it for this, or any other purpose, unless provided for by law. The information provided will be held on file and may also be stored electronically and will be used for the purpose of its involvement in giving support and advice in relation to the child/young person as specified above.
More detailed information about the Council's handling of your personal data can be found in its privacy policy available online (https://www.southampton.gov.uk/privacy), or on request.
Sign in to Google to save your progress. Learn more
Email *
Ensemble / Groups your child was playing in before lockdown 1 (please tick all groups)
My child will rejoin Music Centre for the Summer term 2021 *
My child will be rejoining Music Centre in September 2021 *
PERSONAL DETAILS
First Name of Participant *
Surname of Participant *
Date of Birth (DD/MM/YEAR) *
Gender *
Ethnicity *
Does your child receive a Pupil Premium Grant? *
Does your child have an EHCP (Education Health Care Plan) *
First line of address *
Second line of address *
Postcode *
First name and surname of next of kin *
Title *
Contact Telephone Number (home and mobile if possible please) *
Email address for next of kin (please note all communication will be via email). Please make sure this is an account that is checked frequently to avoid missing any news or notifications. *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southampton Music Hub. Report Abuse