Student first name

Student surname

School

Date of birth

Gender

Which group do you wish to join? Which group do you wish to join? Elfin Strings - Glastonbury Thorn Sept 22 startElfin Strings - Olney Infant (new starters) Sept 22 startMusic Makers (Reception)Music Creators (Year 1)Music Explorers (Pre-School)Start Woodwind (Years 2 & 3)Start Keyboard (Years 2 & 3)Start Strings (Years 2 & 3)Beginner Keyboards (Year 3+)Beginner Wind Band (Year 3+)Beginner Strings (Year 3+)Beginner Choir (Year 3+)Junior Wind Band (Grade 1-3)Junior Choir (Year 6+)Intermediate Strings (Grade 3-5)Intermediate Wind Band (Grade 3-5)Endangered Oboe in School (Secondary School)Junior Strings (Grade 1-3)Endangered Bassoon in School (Secondary School)Endangered Project Percussion (Shenley)Endangered Project Lower Brass (Shenley)Endangered Project Lower Brass (Fairfields)Big Band (Grade 2-8)Double Reed Ensemble (Grade 3-8)Keyboard Ensemble (Grade 1+)String Orchestra (Grade 5+) by auditionWind Orchestra (Grade 5+)Youth Orchestra (Grade 5+) by auditionRock School Beginner/Improvers – Guitar/Drums – Beginners/some experienceRock School Intermediate – Guitar/Drums/Vocals – Competent players (beginner singers welcome)Rock School Advanced – Guitar/Bass/Drums/Vocals – Intermediate/advanced playersMidsummer Players (Age 18+)Prevailing Wind (Adult Wind Band 18+)

Instruments played

Playing standard

Start Date

Are you applying for yourself? Are you applying for yourself?Yes (for adults 18+)No (applying on behalf of a student)

Parent / Carer Title (e.g. Mr, Mrs, Ms etc)

Parent / Carer First Name

Parent / Carer Surname

Address (Number and Street)

Address (Area/Estate)

Address (Town/City)

Post Code

Phone number

E-mail address

Emergency contact information

Any relevant medical information

Declaration Declaration On behalf of the student named above, I apply to MK Music Hub for membership of the specified activities. I agree to pay fees for the above named student termly and give written notice by the end of the term if attendance at an ensemble is no longer required the following term.

Terms and conditions Terms and conditions I have read the terms and conditions relating to ensembles and classes and agree to abide by them. Terms and conditions

Photographic Consent - Photography, Film and Audio: Milton Keynes Music Hub is part of MK Council and occasionally uses photography for publicity purposes. We would like your permission to photograph/film/record audio of your child for possible inclusion in promotional material, website and other publicity material including social media. We will ensure as far as possible that the images/video/audio are not used inappropriately but by submitting this permission form you accept that should this happen, the council does not accept responsibility. Your contact details will remain strictly confidential. Photographic Consent - Photography, Film and Audio: Milton Keynes Music Hub is part of MK Council and occasionally uses photography for publicity purposes. We would like your permission to photograph/film/record audio of your child for possible inclusion in promotional material, website and other publicity material including social media. We will ensure as far as possible that the images/video/audio are not used inappropriately but by submitting this permission form you accept that should this happen, the council does not accept responsibility. Your contact details will remain strictly confidential. I give photographic consent I do not give photographic consent