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BIG Double Reed Day Application Form 2019
BDRD 2019 Student Application
Participant Information
Participant's Surname:
*
Participant's First Name:
*
Participant's Instrument:
*
Oboe
Bassoon
Junior Oboe
Mini Bassoon
Tenoroon
Fagonello
Approximate Standard of Participant:
*
Beginner
Prep Test
Grade 1
Grade 2
Grade 3
Grade 4 and above
Age of participant on 17th February 2019:
*
5
6
7
8
9
10
11
12
13
Please indicate student's approximate level of playing:
*
Working towards the exam
Taking the exam this term
Exam taken and passed
Does the participant have any Special Educational Needs or medical conditions that we need to be aware of?
*
Yes
No
If yes, please give details:
Parent / Guardian Contact Information
Parent / Guardian's Name:
*
Emergency Contact Number:
*
Contact Email Address:
*
Please confirm email:
*
If you are attending the day with your child, have a DBS / CRB certificate from the last 3 years or are registered with the DBS update service, and would be happy to sit in on classes as a volunteer supervisor please let us know:
*
Yes
No
Date on DBS / CRB certificate:
*
Teacher Information
Teacher's Name:
Teacher's Email Address: