Youth Band - Registration Form

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Please fill in this registration form if you are interested in participating in our Youth Band which will start in September 2021.

We need your contact information to send further details about the band or to get in touch in case of any changes to the arrangements. Your personal information will be held in accordance with our data protection policy and it will not be disclosed to any third parties.

First Name *

Last Name *

Age (you must be 18 years old or younger to participate) *

Instrument played (brass instruments only) *

Eb Trumpet or cornet

Bb Trumpet or cornet

Tenor Horn

French Horn

Trombone

Bb Baritone

Euphonium

Eb Tuba

BBb Tuba

Other:

Required

Email address *

Are you already a member of one or our bands, or Brass Roots *

I am NOT a member of Amersham Band

I AM a member of Amersham Band and have already filled in an on-line membership form

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