Extra Curricular Music Groups Brighton & Hove

Please complete one form per activity

School Details

School

Contact Name

Email Address

Phone Number

Course Details

Year Group(s) to take part

Number (and names) of classes to take part (optional)

Number of children in each participating class (optional)

Number of children already learning an instrument (please estimate if not known)

Instrument Requirements

Choice of instrument (First Access, Further Access & Extra-Curricular Music Group only) (optional)

Please indicate whether you are looking to purchase your own instruments or to borrow/hire instruments from Create Music

Purchase your own instruments

Borrow/hire instruments from Create Music

Instruments are available at school

If instruments are already available in school, please specify instrument type and the number available

Instrument type (optional)

Number (optional)

Session Details

Session Length e.g. 30 minutes (optional)

Please give as many options as possible when suitable spaces are available for delivery.

1st Preferred Session Day & Time

2nd Preferred Session Day & Time

3rd Preferred Session Day & Time

Comments (optional)

Agreement

Please contact me to confirm arrangements for the chosen programme and invoice my school accordingly

Name

Purchase Order Number for this order (optional)

In accordance with the 1998 Data Protection Act and the Privacy and Electronic Communications Regulations 2003, and from May 25th 2018, the General Data Protection regulation (GDPR) 2018, Create Music will hold your details for administrative purposes only.
https://createmusic.org.uk/our-policies/privacy-policy/

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Extra Curricular Music Groups Brighton & Hove

Please complete one form per activity