bookingform

Booking Form 2019

Summer 2019

If you would like to apply for Music Makers online, please fill out the following application form. Once we have received the application form we will email you with details of how to make payment. Once payment has been received in full we will process the application and send you confirmation of the place and further information on attending the course.

* Indicates required information.

Title*

Name of parent or guardian*

Home Address*

Postcode*

Home Telephone*

E-mail address of parent*

Parents mobile numbers or one additional contact name and number that we may use in cases of illness or emergency*


Child 1 Details

Name of Child*

Date of Birth*

Age at time of course*

Gender*

Name of School*

Main Instrument (if applicable)

Last grade taken, result and date

Approximate Grade by time of course

Saxophones please state Alto, Tenor or Baritone

Other instruments played (please state approximate Grade)

Any medical or additional information we should know

Name of Instrumental teacher (if applicable)

Address of Instrumental Teacher

Email of instrumental teacher (if known)

Please indicate which course you would like your child to attend*

FORDINGBRIDGE SENIORS ONLY. My child is a competent swimmer and I give permission for him/her to use the pool under supervision


RESIDENTS ONLY (Fordingbridge)

Dormitories will be allocated according to age. Please give the names of any friends your child may like to be with here

Name and telephone of family doctor

Any dietary requirements we should know


Would you like to add another child?*


Child 2 Details

Name of Child*

Date of Birth*

Age at time of course*

Gender*

Name of School*

Main Instrument (if applicable)

Last grade taken, result and date

Approximate Grade by time of course

Saxophones please state Alto, Tenor or Baritone

Other instruments played (please state approximate Grade)

Any medical or additional information we should know

Name of Instrumental teacher (if applicable)

Address of Instrumental Teacher

Email of instrumental teacher (if known)

Please indicate which course you would like your child to attend*

FORDINGBRIDGE SENIORS ONLY. My child is a competent swimmer and I give permission for him/her to use the pool under supervision


RESIDENTS ONLY (Fordingbridge)

Dormitories will be allocated according to age. Please give the names of any friends your child may like to be with here

Name and telephone of family doctor

Any dietary requirements we should know


Would you like to add another child?


Child 3 Details

Name of Child*

Date of Birth*

Age at time of course*

Gender*

Name of School*

Main Instrument (if applicable)

Last grade taken, result and date

Approximate Grade by time of course

Saxophones please state Alto, Tenor or Baritone

Other instruments played (please state approximate Grade)

Any medical or additional information we should know

Name of Instrumental teacher (if applicable)

Address of Instrumental Teacher

Email of instrumental teacher (if known)

Please indicate which course you would like your child to attend*

FORDINGBRIDGE SENIORS ONLY. My child is a competent swimmer and I give permission for him/her to use the pool under supervision


RESIDENTS ONLY (Fordingbridge)

Dormitories will be allocated according to age. Please give the names of any friends your child may like to be with here

Name and telephone of family doctor

Any dietary requirements we should know


Would you like to add another child?


Child 4 Details

Name of Child*

Date of Birth*

Age at time of course*

Gender*

Name of School*

Main Instrument (if applicable)

Last grade taken, result and date

Approximate Grade by time of course

Saxophones please state Alto, Tenor or Baritone

Other instruments played (please state approximate Grade)

Any medical or additional information we should know

Name of Instrumental teacher (if applicable)

Address of Instrumental Teacher

Email of instrumental teacher (if known)

Please indicate which course you would like your child to attend*

FORDINGBRIDGE SENIORS ONLY. My child is a competent swimmer and I give permission for him/her to use the pool under supervision


RESIDENTS ONLY (Fordingbridge)

Dormitories will be allocated according to age. Please give the names of any friends your child may like to be with here

Name and telephone of family doctor

Any dietary requirements we should know


Would you like to add another child?


Child 5 Details

Name of Child*

Date of Birth*

Age at time of course*

Gender*

Name of School*

Main Instrument (if applicable)

Last grade taken, result and date

Approximate Grade by time of course

Saxophones please state Alto, Tenor or Baritone

Other instruments played (please state approximate Grade)

Any medical or additional information we should know

Name of Instrumental teacher (if applicable)

Address of Instrumental Teacher

Email of instrumental teacher (if known)

Please indicate which course you would like your child to attend*

FORDINGBRIDGE SENIORS ONLY. My child is a competent swimmer and I give permission for him/her to use the pool under supervision


RESIDENTS ONLY (Fordingbridge)

Dormitories will be allocated according to age. Please give the names of any friends your child may like to be with here

Name and telephone of family doctor

Any dietary requirements we should know


Please confirm you have read and agree with our Terms & Conditions* View

I confirm I have read and agree with the Music Makers Terms & Conditions