SRC

Application Form

Application Form

Please complete the following short form.

Your Name:

Address:

Telephone:

email Address:

Child's Name:

Date of Birth:

Does your child already play the recorder?

Yes

No

If Yes, for how long have they been playing?

Does your child play any other instruments?

Yes

No

If Yes, which and how long have they been playing?

Has your child passed any music exams (including theory)?

Yes

No

If Yes, which exams and what grades did they get?

Don't worry if you answered No to any question.

Registered Charity (No. 511077)