B:and Together Bursary Form

1

Parent/Guardian Name

First Name

Last Name

2

Participant Name

First Name

Last Name

3

Participant age

4

Parent/Guardian Contact Email Address

example@example.com

5

Post Code

6

Name of Current School

7

School Contact Email Address

example@example.com

8

Which ensemble would you like to join?

Jazz

Gospel

Both

Other

9

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

10

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

Autumn Term (Sept-Dec 2025)

Spring Term (Jan-April 2026)

Summer Term (May-July 2026)

11

Which of the below session dates can your child commit to attending for Autumn Term 2025?Please select every option from the list below that applies to you.

13th September

20th September

4th October

18th October

8th November

22nd November

13th December

12

Which of the below session dates can your child commit to attending for Spring Term 2026?Please select every option from the list below that applies to you.

10th January

24th January

7th February

28th February

7th March

14th March

18th April

13

Which of the below session dates can your child commit to attending for Summer Term 2026?Please select every option from the list below that applies to you.

2nd May

16th May

23rd May

6th June

13th June

Two dates to be added...

14

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