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music School Application FormCOURSE DATES 10/10/2012 15/11/2012

Name of Applicant

Age of Applicant Date of Birth

Name of Parent/Guardian/Sponsor

Address for Correspondence

Phone Emergency Contact/Mobile

Email for Correspondence

Applicants musical knowledge, song writing and interests and experience:-

I agree to my Son/Daughters participation in Music School and know of no medical reason why they should notparticipate. I understand that participants are selected on merit and not on a first-come, first-served basis.

The closing date for applications is:- 02/11/2012

I enclose the full fee of 90.00 (cheques payable to La Motte Street. I understand that if my son/daughter isunsuccessful this money will be returned to me in full. I understand that the fee is not refundable should I withdraw my

son/daughter.I undertake to inform organisers if any of the above details change before or during the period of the course

SIGNED_____________________________NAME (caps)_____________________________Date ___/___/20____

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music School?music School is a guided social/musical experience for

groups of young musicians

music Schoolwill:- Bring together up to four young people in each of the following disciplines -

guitar, bass guitar or drums (further disciplines may be added in future) Guide young participants through a group-learning session led by experienced

tutors Develop a supportive and creative environment

music School will be held over six Saturday sessions atLa Motte Street Youth Centre, during term time, in two

ability levelsKick Start for those staring out 2pm to 3pmMoving Up for intermediates 3pm to 4pm

The course will be run by experienced musicians selected from our Rock School andmusic tutors supported by the youth work staff of La Motte Street.

The course is open to young people aged School Yr7-18yrs.

La Motte Street is fully equipped with instruments and amplification or participantsmay wish to bring their own.

and refreshment/snack bar so all participants needs are catered for on-site.

COURSE DATES10/17/24th Nov, 1st/8/15th Dec 2012

Course Fee - 90:00 payable to La Motte StreetAges School Yr7-18yrs inclusive

Further information can be obtained from course administrator Carmel Butel at La Motte Street Youth Centre on

carmelbutel@youthservice.yc.je, or by calling (01534) 729136

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musicSCHOOL

PLEASE RETURN YOUR COMPLETEDAPPLICATION FORM TO

Carmel Butel, Course AdministratorNew St James Place

St HelierJE2 4QL

01534 729136 (course administrator)carmelbutel@youthservice.yc.je

01534 729081 (senior youth worker)

mailto:carmelbutel@youthservice.yc.jemailto:carmelbutel@youthservice.yc.je

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ivorrichards@youthservice.yc.je

mailto:ivorrichards@youthservice.yc.jemailto:ivorrichards@youthservice.yc.je