RMT Band Toolkit - Richmond Music Trust

Child's Details

Child's Name*

First Last

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

Child's gender*

Child's preferred pronouns

Child's Date of Birth*

Child's Current Academic Year*

Child's Current School*

Child's Instrument*

My child has been taking part in Wider Opportunities Transition 2 this term*

If your child has not been taking part in Wider Opportunities Transition 2 this term, they can still take part in the Toolkit Course. Please give details below on your child's ability such as length of time learning, and any grades they may have taken/be working on at the moment

Participant'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

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 ensemble*

Yes
No

I give consent for my child to be photographed/filmed/recorded*

Yes
No
I would like further information before I decide

NB any images and/or recordings, audio or visual, may be used on RMT social media platforms and/or to promote future RMT events

RMT’s full Terms & Conditions will apply on acceptance of your child’s ensemble place.

I confirm I have read and accept RMT's Terms & Conditions*

Yes
No

RMT Band Toolkit Registration

Child's Details

Parent/Carer Details (first emergency contact)

Second Emergency Contact Details

Consent