Vivace 2021 registration form

Vivace Suzuki Summer School 2021

Registration Form
Parent *

First Name Last Name
E-mail *
example@example.com
LSG/BSI membership number *
Mobile Phone *
Number of Children attending

1st Child
1st Child
Name *

First Name Last Name
Age *
Instrument *
Date of Birth *

Day Month Year
Date
Teacher *

First Name Last Name
Current Piece *
Please indicate the Book
*
Please write the title of the current top piece
Any allergy? *

No Yes
Please provide your child's allergy details *
Allergen and medication etc
Any SEN (special educational needs)? *

No Yes
Please provide the details *
Comment

Please provide any additional information our teachers might find helpful. 0/250
Orchestral experience *
Music reading experience *

2nd Child
2nd Child
Name *

First Name Last Name
Age *
Instrument *
Date of Birth *

Day Month Year
Date
Teacher *

First Name Last Name
Current Piece *
Book
*
Title of the piece
Any allergy? *

No Yes
Please provide your child's allergy details *
Allergen and medication etc
Any SEN (special educational needs)? *

No Yes
Please provide the details *
Orchestral experience *
Music reading experience *
Comment

Please provide any additional information our teachers might find helpful. 0/250
Preferred individual lesson time
We will try to accommodate your preference but it is not guaranteed.

3rd Child
3rd Child
Name *

First Name Last Name
Age *
Instrument *
Date of Birth *

Day Month Year
Date
Teacher *

First Name Last Name
Current Piece *
Book
*
Title
Any allergy? *

No Yes
Please provide your child's allergy details *
Allergen and medication etc
Any SEN (special educational needs)? *

No Yes
Please provide the details *
Comment

Please provide any additional information our teachers might find helpful. 0/250
Orchestral experience *
Music reading experience *

Section Stopper
Participation in this workshop grants the event organisers full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications. (Please note, if you do not agree to your child to be photographed it will not prevent them from attending the course).
*

I agree to my child being photographed/videoed I do not agree to my child being photographed/videoed
Please note that the Vivace Suzuki Summer School is not holiday childcare. Parents of children currently in Year 6 and below will need to be able to accompany their child at all times.
I agree with the above condition *

Yes
I would like to leave my child in Year 7 and above on

Wednesday 28 Thursday 29 Friday 30 Saturday 31
I understand that the deposit of £25 per child must be made within 7 days of registration. Full payment must be made by 28 June 2021.
I agree with the above condition *

Yes
Cancellation Policy

Cancellation before 28 June: £25 admin fee per child payable.
Cancellation after 28 June: 100% fee payable.

If organisers are forced to cancel the whole or a part of the course due to Covid pandemic, any days not used will be refunded to you within 28 days. When deciding to run the course, we will follow the protocol set out by the government and governing bodies at all times.
I agree with the above condition *

Yes
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Vivace Suzuki Summer School 2021