County Groups Registration

 

First name: *

 

Surname: *

 

Address (including postcode): *

 

Phone number (Parent/carer): *

 

Email (Parent/carer): *

 

Date of birth (dd/mm/yyyy): *

 

First instrument: *

 

1st Instrument Grade (and year taken): *

 

Working towards:

 

2nd Instrument:

 

2nd Instrument grade (and year taken):

 

Working towards:

 

Name of instrumental teacher: *

 

Name of school/college attended: *

 

Do you have any ensemble or solo performing experience on either instrument?

 

Which County Group(s) are you interested in joining? *