Youth Music Club

REGISTRATION FORM

Please register your interest to attend the FREE Youth Music Club sessions at Glebelands School Music Department.

Every other Wednesday

Beginner 3.30 - 4.30pm

Intermediate 4.30 - 5.30pm

Term time only.

The Parish Council is supplying the instruments with grateful thanks to the Co-op Local Causes Fund and volunteers are providing music tuition.

If you would like to discuss the Youth Music Club please contact the Parish Council Clerk if you have any queries clerk@cranleigh-pc.gov.uk or 01483 272311

Please note that fields marked with a * are required. Failure to provide required information may result in us being unable to register you to attend.

We will send you the consent form when we receive your registration. You need to complete this and return it to us before the Youth Music Club session. You can do this via email, posted to the Parish Council, or bring it with you on the day. Unfortunately, no child will be able to take part without this consent.

Question Title

* 1. Enter your details:

Name *

Address 1

Address 2

Post Code *

Email Address *

Phone Number *

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* 2. Enter the young person's details:

Name *

Address 1

Address 2

Post Code *

Email Address *

Phone Number *

Question Title

* 3. Please enter the young person's date of birth

Date / Time

Date

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* 4. Please tick one box only:

The young person has no music experience

The young person is a beginner

The young person is an intermediate

I can help with tuition

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* 5. Consent * (you must complete this section)
We need to store your personal information in order to register your young person for the Youth Music Club. Please confirm whether you agree to the following by ticking the relevant box. Please note that we will be unable to consider your response if you do not consent to the below.

I consent to Cranleigh Parish Council storing my personal data and my young person's data. *

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* 6. Thank you for registering your young person for the Cranleigh Youth Music Club.
You will be sent a consent form which must be printed, completed, signed and returned before the Youth Music Club sessions.
No form - no attendance
Hard copy consent forms are available from the Council office by telephoning 01483 272311 or email clerk@cranleigh-pc.gov.uk

Please add any additional comments you want to make below: