Name of Parent / Guardian *

First Name

Last Name

Mobile Number *

(###)

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Name of Student *

First Name

Last Name

Composition Experience *

Beginner (No composing experience)

Intermediate (Some experience writing music)

Advanced (Comfortable with composing)

Cancellation Policy *

I understand that cancellations must be made at least 14 days before the workshop for a full refund, after that time a refund may only be made if the space can be filled by someone else.

GDPR Compliance *

I agree to be contacted about this workshop and related events

Payment

I agree to pay the workshop fee of £20 and understand that until payment is received a place on the workshop is not confirmed.

I understand that the workshop is first come first served and upon completing the form a space will be allocated and a payment request sent, or you will be placed on a waiting list.