Gloucestershire Academy of Music - Summer Holiday Courses 2024
Please use this form to apply for a place on one of our Summer courses.
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Email *
Confirm email address *
Please select the course you would like to attend. Please note Early Bird prices only apply until 12 May. *
Full name of person attending *
Date of birth (dd/mm/yyyy) *
Gender *
Home address *
Instrument *
Approximate standard of playing *
Other instruments played and standard *
Instrument teacher *
How did you find out about this course? *
Required
Health Information
Any allergies/health issues?  Please provide details below. *
Do you have any special educational needs, disabilities or barriers to learning that we should be aware of? *
Emergency contact information
Please provide names and contact numbers for two people who can be contacted in an emergency.
Name and telephone number of emergency contact no. 1 *
Name and telephone number of emergency contact no. 2 *
Media consent
Photographs/videos of students may be taken during the course that may be used for marketing and promotional purposes by Gloucestershire Academy of Music, including on social media.  We may also share photographs/video with our Partners for use on their websites, such as, but not limited to, Make Music Gloucestershire (the county's Music Hub), to promote music education in Gloucestershire.  In all instances, individuals are not named unless prior specific consent is obtained.
Please tick which applies to you: *
Payment and booking
1. Your booking is only confirmed once we have received a completed booking form and deposit payment.
2. If you wish to cancel your booking, written notification (which includes email) must be received as soon as possible. The deposit is non-refundable.
3. We reserve the right to make changes to the course such as changes of named tutors and the location of the course. We will aim to notify you in advance of any changes that are necessary.
4. If for any reason we need to cancel the course we will refund any monies already paid by yourself.


Please tick as applicable: *
Required
Thank you for your booking.
A copy of your responses will be emailed to the address you provided.
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