application form / parental consent form · 2018. 10. 9. · for woodwind/brass, grade 7+ wednesday...

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in association with ADVANCED CHAMBER MUSIC WORKSHOP for Woodwind/Brass, Grade 7+ Wednesday 31st October 2018 9:00am - 5:30pm The Elgar School of Music, Deansway, Worcester A one-day workshop for young musicians Flute • Oboe • Clarinet • Bassoon Trumpet • Horn • Trombone • Tuba • Brass Band Instruments A chance to work in small/medium ensembles grouped by playing standard Tuition by professional players from the English Symphony Orchestra Informal concert at the end of the day Workshop Fee £40 per day PLACES STRICTLY LIMITED To register your interest or for more details please email [email protected]

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Page 1: Application Form / Parental Consent Form · 2018. 10. 9. · for Woodwind/Brass, Grade 7+ Wednesday 31st October 2018 9:00am - 5:30pm The Elgar School of Music, Deansway, Worcester

in association with

ADVANCED CHAMBER MUSIC WORKSHOP

for Woodwind/Brass, Grade 7+

Wednesday 31st October 2018 9:00am - 5:30pm

The Elgar School of Music, Deansway, WorcesterA one-day workshop for young musicians

Flute • Oboe • Clarinet • BassoonTrumpet • Horn • Trombone • Tuba • Brass Band Instruments

A chance to work in small/medium ensembles grouped by playing standard Tuition by professional players from the English Symphony OrchestraInformal concert at the end of the day

Workshop Fee £40 per day PLACES STRICTLY LIMITED

To register your interest or for more details please email [email protected]

Application Form / Parental Consent FormPlease reserve place(s) as indicated

Child’s Full Name

Address

Postcode Date of birth

Parent / Guardian’s Name

Email Telephone

Instrument Approx. Grade

Teacher’s Name

Name of school

How did you hear about this course?

Any special medical conditions / dietary requirements / allergies etc.

Emergency contact other than the above

Name Tel No

The ESO accepts no responsibility for those students who do not supply this form completed in full.

Photographs: I hereby consent to photographs of the above names being taken during the course for

publicity purposes. In the event of an emergency arising to the above mentioned person and his/her

parents or guardians not being available, I authorise the official representatives of the ESO (2006) Limited, as organisers of the ESO Beginners and Intermediate Orchestras, in their absolute discretion, to sign any

consent forms for medical treatment etc. as required, for the duration of any course or concert.

Fee Payable £70 per student per 2-day course I enclose a cheque payable to ESO (2006) Ltd for

Please debit my: Mastercard Visa Maestro

Card No

Start Date: Expiry Date Issue No

Last 3 digits of security code on rear of card

Please return this form to ESO Youth, 16-21 Deansway, Worcester WR1 2ES or by email to [email protected]

ESO Youth Orchestras are operated by: ESO (2006) Ltd, 16-20 Deansway, Worcester WR1 2ES Tel: 01905 28613 ext 4 E-mail: esoyouth@eso.

co.uk Website: eso.co.uk

Registered Charity No.

1119621

2017 Autumn Half Term 21/22 October Beginners Orchestra 28/29 October Intermediate Orchestra

2018 Spring Half Term 10/11 February Beginners Orchestra 17/18 February Intermediate Orchestra

2018 Summer Half Term 26/27 May Beginners Orchestra

Page 2: Application Form / Parental Consent Form · 2018. 10. 9. · for Woodwind/Brass, Grade 7+ Wednesday 31st October 2018 9:00am - 5:30pm The Elgar School of Music, Deansway, Worcester

Application Form / Parental Consent Form Child’s Full Name Instrument Approx. Grade Date of birth Address Postcode Parent / Guardian’s Name Email Telephone How did you hear about this course? Any special medical conditions / dietary requirements / allergies etc. Emergency contact other than above Name Tel No

⃞ I consent to ESO (2006) Ltd retaining my contact information in order to inform me of future ESO Youth events. ⃞ I consent to photographs of the above being taken during the course for publicity purposes.ESO (2006) Ltd accepts no responsibility for those students who do not supply this form completed in full. In the event of an emergency arising to the above mentioned person and his/her parents or guardians not being available, I authorise the official representatives of the ESO (2006) Limited, as organisers of the ESO Beginners and Intermediate Orchestras, in their absolute discretion, to sign any consent forms for medical treatment etc. as required, for the duration of any course or concert.

Signature Date

Fee Payable £40 per student per day I wish to claim 10% discount as a member of ESO Friends. Membership no. I enclose a cheque payable to ESO (2006) Ltd for

Please debit my: ⃞ Mastercard ⃞ Visa ⃞ Maestro

Card No Start Date Expiry Date Issue No Last 3 digits of security code on rear of card

Please return this form to ESO Youth, Huntingdon Hall, Crowngate, Worcester WR1 3LDor by email to [email protected]

ESO Youth Orchestrasare operated by: ESO (2006) Ltd, Huntingdon Hall, Crowngate, Worcester WR1 3LD Tel: 01905 29349Email: [email protected] Website: eso.co.ukRegistered Charity No. 1119621