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Home >Ensembles and courses>Ensembles>Rock Band

Ensembles

Rock Band

Day and time	Saturday 9:00am - 10:00am
Phone	020 8538 3866
Email	admin@richmondmusictrust.org.uk
Cost	Activities Passport Level 2 £97 per term
Where does this ensemble meet?	Saturday Centre
Instruments	Bass Guitar Drum Kit Electric Guitar Keyboard Voice

0930-1015

Studio Theatre Saturday Centre (Waldegrave School)

Year 7+

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 Details
Participant's Name*
First Last
Participant's preferred name to be used (if different to that stated above)
Participant's preferred pronouns
Participant's Date of Birth*
Participant's Current Academic Year (to 31 Aug 2023)*
Participant's Current School (to 31 Aug 2023)*
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
The 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*
Which instrument will your child play in this ensemble ?*
The Participant takes grade exams*
- Yes
- No
The Participant's current grade is
If 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 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 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

admin@richmondmusictrust.org.uk

020 8538 3866

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