Hastings Music Centre
Open Day Registration Form
28th March 2020
9.00am - 12.15pm
The St Leonards Academy, Hastings
01
Application
02
Agreement
I wish to register for the Hastings Music Centre Open Day
Pupil's Details
Child's First Name
Child's Last Name
Child's Date of Birth
Child's Gender
Male
Female
Unspecified
Which School does your child attend?
Class Name
Current Year Group
Name of your child's music teacher
Is your child a 'looked after child'? This includes children looked after by the local authority, for example with foster carers
No
Yes
Does your child have any special educational needs, disability, or medical conditions that we need to know about?
No
Yes
If yes, please describe
Parent/Carer Details
Title
Name
Address
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Deps
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Herzegovina
Botswana
Brazil
British Virgin Islands
Brunei
Bulgaria
Burkina
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Rep
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Vincent & the Grenadines
Samoa
San Marino
Sao Tome & Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
St Kitts & Nevis
St Lucia
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Other
Email
We will use email as our first point of contact with you
Phone Number 1
(home, work or mobile)
Phone Number 2
(home, work or mobile)
Emergency Contact Phone Number
(home, work or mobile)
East Sussex Music is committed to ensuring that instrument and vocal learning opportunities are available to all children and young people in the county.
If your child has any additional or educational needs, including a disability, and you would like to discuss how we can best meet them, please contact the office on 01273 261540 or esm@brightondome.org
Which Music Group or Ensemble Would You Like Your Child to Experience?
SESSION 1:
9am - 10am
All sessions are an hour except for Young Music Makers
None
Young Music Makers - Reception (9.30am - 10.00am)
Young Music Makers - Year 1 (9.00am - 9.30am)
Guitar Explorers - Beginners
Keyboard Group - Beginners to Grade 1
String Training Orchestra – Grade 1.5 to Grade 3
Youth Guitars – Grade 5+
SESSION 2:
10am - 11am
All sessions are an hour except for Young Music Makers and Recorder Group
None
3 Beats - Year 3 (10am - 10.30am)
Young Music Makers – Year 2 (10.30am - 11am)
Recorder Group – Beginners to Grade 1 (10.30am - 11am)
Violin Explorers - Beginners
Junior Choir – for all Year 4 – 6
Youth Choir – for all Year 7+
Youth Percussion – Grade 1.5+
Guitar Band – Grades 2 – 4
Wind Band – Grades 3 - 4
Adult Guitar Group – all levels
SESSION 3:
11.15am - 12.15pm
All sessions are an hour except for Mini Music Makers
None
Mini Music Makers – Age 3+ (11.15am - 11.45am)
Recorder Band – Grades 2 – 4
Keyboard Band – Grade 1.5+
String Chamber Ensembles – Grade 5+
String Group – Beginner to Grade 1.5
Session Band – Grade 5+
Wind Group – Beginner to Grade 2
Rock & Pop – Grade 2+
Grade 5 Theory
Guitar Group – Beginner to Grade 1
Which instrument does your child play?
How long have they played this instrument?
At what standard does your child play
Don't know / n/a
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6+
If your child plays other instruments and/or takes part in other music activities, please give very brief details below
Page Break
Photography Statement:
East Sussex Music takes photographs or video during rehearsals, concerts and events. These may be used in publicity material including brochures, programmes, in social media and on our website. For full details, please read the full photographic consent information that you can find at the top of the page.
Please tick to indicate your agreement
Yes, I give consent to use images of my child
No, I do not give consent to
You can remove your consent at any point by emailing esm@brightondome.org
In accordance with the 1998 Data Protection Act and the Privacy and Electronic Communications Regulations 2003, and from May 25th 2018, the General Data Protection regulation (GDPR) 2018, ESM/BDBF will hold your details for administrative purposes and to provide you with updates about our work and how you are helping us change lives through music.
Privacy Policy
I have read the Privacy Policy
I agree
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