Junior Strings Register your child for their Free Trial Session RMT Ensemble Free Trial Session Registration This form should be completed and submitted PRIOR to your child attending their free Trial Session with RMT. Participant DetailsParticipant's Name* First Last Participant's preferred name to be used (if different to that stated above)Child's gender*FemaleMaleParticipant's preferred pronounsHe/himShe/herThey/themPrefer not to sayParticipant's Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Participant's Current Academic Year (to 31 Aug 2024)*Participant's Current School (to 31 Aug 2024)*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 aboveThe Participant is* new to Richmond Music Trust already involved with Richmond Music Trust Please select the name of the ensemble your child would like to attend a Free Trial Session for*RMT Drum and Percussion EnsemblesRMT Junior StringsRichmond Junior Brass BandRichmond Junior Concert BandRichmond Youth Brass BandRichmond Youth Concert BandRichmond Youth Jazz BandRichmond Youth Training OrchestraRMT Rock BandRMT Soul BandRMT ChoirRMT Recorder EnsembleWhich instrument will your child play in this ensemble ?*Please select the Participant's Level* Beginner 1+ year's tuition If your child is a beginner, please provide details of their experience e.g. how many terms/what pieces or books they are working on.The Participant takes grade exams* Yes No The Participant's current grade isIf yes please state the grade you are currently working towards. The Participant's teacher's name is*Please tell us if the Participant plays a second instrumentParent/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 communicationPostal 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 DetailsEmergency Contact 2 Name* First Last Emergency Contact 2 mobile*Emergency Contact 2 email* Emergency Contact 2 relationship to child*ConsentI 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 eventsRMT'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
