BDS_Band Clubs_Test

Learning Location(Required)

Please choose whether you'd like to sign up for Band Clubs at school (school dependent) or at Future Yard.

Child's school(Required)

Band Club Participant Information

If you feel that there is information that you can provide that will help your child flourish within our Band Clubs, please detail in the relevant sections below. If there is anything you feel you'd rather discuss in person, please drop bandclubs@futureyard.org an email to discuss.

Child's Full Name(Required)

Child’s date of birth(Required)

Child's gender(Required)

Child's ethnicity(Required)

Postcode(Required)

Does your child have any previous experience with instruments or music lessons?

Do they have any instruments they currently play or want to learn?

Any specific learning needs or preferences?

Additional Needs

Please tell us any additional information that will help us to support your child. E.g. does your child have any disability, access needs or special education needs? Please tell us about any medical conditions or allergies we need to consider; or if your child has experienced any mental health issues you think it would be beneficial that we know about, such as low mood or anxiety.

Information

Contact Information - Parent/carer

We need details for the main point of contact for us to share information with, and also to contact if any issues arise during our sessions.

We will only ring you with short notice changes to the programme, or in an emergency. We will use email to send you useful information and updates.

Name(Required)

First Last

Contact email address(Required)

Emergency contact number(Required)

Any additional contacts we may need, including emergency contacts (if different from parent/carer above)

We may take photography of the sessions to use for promotional purposes. Do you consent for us to share photographs featuring your child(Required)

Yes

Session Dates & Availability

Each Band Club runs in 10 week blocks. This Band Club runs on Mondays.

Please tick any dates that you cannot make

Payment

There is a fee of £8.75 per child, per week which will be paid in 10-week termly blocks. When you click 'Submit' below you will redirected to a payment page. Please confirm payment as soon as possible to guarantee your place.

Band Club - 10 Week Block

Price:

Total

BDS_Band Club_Test

Band Club Participant Information

Additional Needs

Contact Information - Parent/carer

Session Dates & Availability

Payment