RMT Harpischord Day 2026 - Richmond Music Trust

Child's Details

Child's Name*

First Last

Participant's preferred name to be used (if different to that stated above)

Child's sex*

Child's preferred pronouns

Child's Date of Birth*

Child's Current Academic Year (to 31 Aug 2026)*

Child's Current School (to 31 Aug 2026)*

Child's Additional Need(s)*

SEN
Allergy
Medical
Accessibility
Other
None

NB please tick any/all that apply and give details in the box provided below. If required we will contact you to discuss further.

Details of any additional need listed above

My child is*

new to Richmond Music Trust
already involved with Richmond Music Trust

Please select the name of the course the child would like to attend*

RMT Harpsichord Day 2026

Harpsichord Day Fee

Price:

Which instrument does your child learn?

Piano
Keyboard

My child takes instrumental grade exams on this instrument*

Yes
No

My child's current instrumental grade on this instrument is

If yes please state the grade you are currently working towards.

My child's instrumental teacher's name is*

Please tell us if your child plays a second instrument

Parent/Carer Details (first emergency contact)

Parent/Carer Name*

First Last

Parent/Carer mobile*

Parent/Carer email*

NB this email address will be used for all communication

Postal Address*

Street Address Address Line 2 Post Code

I confirm that I have legal parental responsibility for the above named child*

Yes
No

I confirm that the Parent/Carer details I have given can be used as the main Emergency Contact Details for the above named child*

Yes
No

Second Emergency Contact Details

Emergency Contact 2 Name*

First Last

Emergency Contact 2 mobile*

Emergency Contact 2 email*

Emergency Contact 2 relationship to child*

Consent

I give consent for the administration of first aid for my child (named above) whilst onsite with RMT*

Yes
No

I give consent for the seeking of professional medical advice for my child (named above) whilst onsite with RMT*

Yes
No

I give consent for the administration of emergency treatment for my child (named above) whilst onsite with RMT*

Yes
No

I give consent for my child to travel alone to and from this Instrumental Day*

Yes
No

Filming and Photography

Please read the following statement: Richmond Music Trust will occasionally use photographs and/or film footage of events, concerts and lessons. These images may be used to celebrate our musical activities and pupil achievements, to promote the Trust via our website and social media, for publicity or funding purposes related to music education, and for other publicity such as newsletters, promotional videos and press releases. When using photos and videos for publicity or website/social media purposes, we will not accompany them with any other personal information about the child. Images that might cause embarrassment or distress will not be used. We will only use images of pupils who are suitably dressed, to reduce the risk of such images being used inappropriately. Although we will carefully use images on the basis of our “legitimate interests” we understand there may be occasions where music service users provide good reason why we should withdraw certain images. If you have any concerns about the use of photographs or video or wish to ask us to withdraw an image of your child with good cause, then please contact carolinepeirson@richmondmusictrust.org.uk

I confirm that I have read the above statement on Photography and Filming*

Yes

Payment

Total

£ 0.00

RMT Harpsichord Day

Child's Details

Parent/Carer Details (first emergency contact)

Second Emergency Contact Details

Consent

Filming and Photography

Payment