Cadenza Application

Forename

Surname

Year of Birth

Instrument

Standard

Package Choice

Name of Teacher

Name of School

Name of Parent/Carer

Home Address

Town

Postcode

Email Address

Contact Number

Emergency Number

Medical/Dietary Conditions

Special Educational Needs or Disabilities

My Child will be collected by

Child entitled to 'Free School Meals'

Child in EMS 'Endangered Species Programme'

Do you give EMS permission to use your child's image for publicity and marketing purposes?

Please note that places at Cadenza are limited and each application will be considered separately by Caroline Swan, Ensemble Development Leader.

Title