Brass Training Weekend Registration Form

ENDERBY BAND ORGANISATION

BRASS TRAINING WEEKEND 2019

REGISTRATION FORM
Lutterworth College, Bitteswell Road, Lutterworth, Leics. LE17 4EW

Saturday 21st September: 8.45am – 5pm

Sunday 22nd September: 8.45am – 4pm
Players Name*

First NameLast Name
Age*
Instrument*
Approximate Grade
Name of own Band*
Please indicate the band you wish to play in: *
Training Band / Main Band
Please state which part you would like to play
Address*

Street Address

Street Address Line 2

City

Post Code
Contact Email*
example@example.com
Phone Number*

Area CodePhone Number
Please provide an Emergency Name & Contact Telephone Number
Name *
(Please also state relationship to player):*
Emergency Contact Telephone Number*

Phone Number
Please give details of any medical conditions / allergies / medication that may be of relevance whilst attending the training weekend: -
Cost: £30 (non-refundable) both days £20 (non-refundable) one day

If there is more than 1 player in the family, the cost is £25 per child for the weekend.
If more than one family member is attending please complete a form for each, but only complete payment details on first form - Thank You
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Training Weekend ( BOTH DAYS )£ Free

Quantity

Training Weekend ( 1 Day ONLY )£20.00

Quantity

Total £0.00
If attending 1 day only, please state which day
We may take photographs during the weekend to be used for publicity purposes. If you do not wish your child to be photographed, please tick here 

I do not wish photographs to be taken of my child
Signature

Clear
DateTime
Deadline for return: 7th September 2019
For further details or queries please call Sam McClumpha 07789 002461 or

Trevor Hounsome 07809 051124 or e-mail: catherine@snaefell.plus.com
Detailed programme for the course will be sent by e-mail in September
Should be Empty:

Cost: £30 (non-refundable) both days £20 (non-refundable) one day

Deadline for return: 7th September 2019