B:and Together Bursary Form

1

Parent/Guardian Name

First Name

Last Name

2

Participant Name

First Name

Last Name

3

Parent/Guardian Contact Email Address

example@example.com

4

Post Code

5

Name of Current School

6

School Contact Email Address

example@example.com

7

Which ensemble would you like to join?

Jazz

Gospel

Both

Other

8

What instrument do you play? Voice is included as an instrument.

9

Which term(s) would they like to participate in?You may select more than one of the options below.

Autumn Term (Sept-Dec 2024)

Spring Term (Jan-April 2025)

Summer Term (May-July 2025)

10

Please select any of the options below that apply to you or your childYou may select any that are applicable

Free School Meals (Pupil Premium)

EHCP (Educational, Health and Care Plan)

A Looked After Child (living with foster parents/carers, living with friends or relatives, living in a children's residential home, living in residential settings like schools, secure units or semi-independent living accommodation)

Care Leaver

Care To Learn

Income Support/Universal Credit

Low Income Family

Disability Allowance

Other