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Booking Form (Stage 1)
Applicant Details
Name:
*
Address 1:
*
Address 2:
*
Postcode :
*
Country :
*
Telephone (please include local/international codes)
Home:
*
Work:
Mobile:
Email:
*
Main Instrument:
*
2nd Instrument:
3rd Instrument:
Age:
10-13
14-15
16-17
18-29
30-39
40-49
50-59
Over 60
*
If you are under the age of 16 please provide a daytime contact number for a parent/guardian.
Parent/Guardian:
*
What Styles of Music do you play?
*
Do you improvise and, if so, to what standard?
Beginner
Intermediate
Advanced
*
How would you describe your music reading skills?
Beginner
Intermediate
Advanced
*
Do you hold any music exam certificates (practical/theory)? Please list
*
Have you ever played in a group or ensemble?
Yes
No
*
Have you ever recorded music before?
Yes
No
*
Have you ever played in a live performance situation?
Yes
No
*
Have you attended other Jazz or music courses/summer schools before? Please list
*
How did you hear about Jazz Course UK?
*
* denotes mandatory fields.
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Fandangodesign
2003