APPLICATION FORM FOR WEEKEND COURSE

(Fields marked with red asterix must be filled out)*

Choose weekend dates

Weekend dates *

Group Contact Person

Name *

E-mail address *

Postal Address

Country

Post Code(if any)

Phone (home)

Phone (work)

Phone (mobile)

Confirm that all group members will be aged 18 or over *

Note: All participants must be aged 18 or over at the time of the course

Group Members

Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category
Name	Instrument	Category

Title of piece to be studied:

Special Requirements

(Accommodation, Diet, Sharing preferences etc...)

Number of Guests for Sunday Concert/Tea

Name		*
E-mail address		*
Postal Address




Country
Post Code(if any)
Phone (home)
Phone (work)
Phone (mobile)
Confirm that all group members will be aged 18 or over	*