MK Brass Hoppers Application Form - Milton Keynes Music Education Hub

MK Music Hub

MK Brass Hoppers – Band Trip

Saturday 25th March 2023 – Stockport Grammar School

Application form – for brass players up to Grade 5 & up to 18 years old

Please note, if this form is submitted you will automatically be invoiced for up to £20 towards the cost of the coach. We are not able to provide a refund or credit should you not attend the event.

Student first name

Student surname

Date of birth

Gender

School

Parent / Carer title (Mr, Mrs etc)

Parent / Carer first name

Parent / Carer surname

Phone number

E-mail address

Full postal address (for invoicing)

Postcode

Where do you play your instrument? (i.e. at school? Music Centre?)

Instrument

Grade or standard of playing

Any medical details we should be aware of

Emergency contact 1 (name & tel no)

Emergency contact 2 (name and tel no)

Confirmation Confirmation By submitting this form you confirm that you give permission for the above named student to attend the Brass rehearsals on 14 and 21 March 2023 and the Brass coach trip on 25 March 2022 and accept the charge of up to £20 which will be invoiced. No refund or credit is available for non-attendance

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