WYGF-extra 2010/ Individual application form

Student information
Name of player(required)
Address
Post code / Zip
Country
Telephone number(required)
Email(valid email required)
Applicant's date of birth - dd/mm/yyyy
Last grade taken (or approx ability)
Teacher's name
Teacher's contact number (please ask first)
Current repertoire
Do you have any ensemble experience?
If YES please give details
Travel
How will you be travelling to WYGF-extra?
IMPORTANT - WYGF-extra CONDITIONS
* Please note we require a PASSPORT SIZED PHOTO of YOU. Please send images by email as JPEG attachments at time of booking.
* To secure your place please send a cheque for £25, made payable to THE ARTS CIRCUS, to the WYGF Office at 17 Hyde Abbey Road, Winchester, Hampshire, SO23 7DA
* By ticking the box below I give permission as the applicant for WYGF and The Arts Circus to hold these details on a database for their exclusive use. These details will not be passed on to any third parties and will be held in the strictest confidence.
I have read and agree to the WYGF-extra conditions
Please enter code to verify your request

WYGF11 Info