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