Application form - Lewisham Music

Are you applying for:

Child Details

Child's full name

Child's date of birth

Gender MaleFemale

Current school

Current school year group

Home address

Postcode

Parent/Carer Details

Parent/Carer's name

Email address

Home telephone number

Mobile telephone number

Emergency contact name 1 (must not be the same as parent/carer)

Emergency telephone number 1

Emergency contact name 2 (must not be the same as parent/carer or emergency contact 1)

Emergency telephone number 2

Other Details

Is your child a Looked After Child (in care)?

Does your child have any special needs, medical conditions, allergies or access requirements?

If YES, please give details below:

Does your child qualify for Free School Meals?

Do you give permission for your child to leave the after school group / Saturday Centre / holiday course unaccompanied?

What instrument(s) are played by your child, including voice? In the box below, please list the instruments, the length of time learning and the approximate grade/level of each instrument

What tuition and/or groups would your child like to join? (please see Saturday Music Centre page for details)

At times during lessons, rehearsals and performances we may take photos and/or video footage in which your child could appear. We may feature these in Lewisham Music online publicity, including our website and social media pages, and general print publicity, including programmes and leaflets, and local, national or international press in support of Lewisham Music stories. Do you give consent for photos or videos of your child to be taken and used in the ways described above, now and in the future?

How did you find out about Lewisham Music?

Would you like to be added to the Lewisham Music monthly newsletter and receive exciting updates from us and our partner organisations, including events, projects, opportunities and news?

Are you happy to receive text messages from time to time with important updates about the Saturday Centre / after school group / holiday course?

Please note, Lewisham Music only accepts applications from children aged 7 to 18 who attend a Lewisham maintained school or academy or are resident in the Borough of Lewisham. Priority is given to Free School Meals children, Looked After children and children in Lewisham maintained schools or academies.