Hub Ensembles Membership Form
Membership of ensembles is free of charge so that no student should be prevented from attending for financial reasons.
Player Name
*
Player Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hub Ensemble(s) Attended or Intending to Join
Portsmouth Plays (Orchestra)
Ocean Wind (Community Wind Band)
BASE Vocal Group 8-13yrs (Choir)
BASE Vocal Group 13-18yrs (Choir)
Top Brass North (Brass Band, Paulsgrove)
Top Brass South (Brass Band, LOCATION)
Build A Band (Rock Band)
Instrument
School (or N/A if Player does not attend a school)
*
How did you hear about our ensembles?
*
Facebook
X
Instagram
YouTube
Tiktok
LinkedIn
Posters/Flyers
Website
School
Word of Mouth
Other
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Parent/Carer Details
Parent/Carer's Name
*
Address
*
Email
*
Phone Number
*
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Emergency Contact Details
Additional Emergency contact during rehearsals
Contact Name
*
Relationship to Student
*
Phone Number
*
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Medical Information
If not applicable please enter 'N/A'
Does the participant have any medical conditions, allergies, or health needs that staff should be aware of?
*
Is the student taking any medication? If yes, please specify below
*
Does the student require any adjustments to participate safely?
*
Is the student currently medically fit to perform?
*
Yes
No
Has the student been given specific medical advice to follow in emergency?
*
Yes
No
If you have answered 'yes' to the last two questions please give further details
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Parent/Carer Consent
I understand and accept responsibility to ensure the prompt and safe collection of the student at the end of every rehearsal and concert. I understand Music Hub staff are not responsible for my child outside of rehearsal/concert times.
*
Yes
No
I understand and give consent that photographs and video film may be taken on occasions and used responsibly on websites, social media and in presentations and publications.
*
Yes
No
I would like to receive Music Hub Newsletters and updates by email.
*
Yes
No
Submit
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