Future Yard Band Clubs – Enrolment

Location: Future Yard, 75 Argyle Street

Start date: Tuesday 26th May

Date: Every Tuesday

Time: 4:30pm-5:30pm

Recommended Ages: 6-9 years old

Price: £8.75 per child per session which will be paid in 10 session blocks, totalling £87.50.

Steps to secure your Band Clubs place:

1. Read the Band Clubs T&C’s
2. Complete enrolment form
3. Authorise payment

Band Club Enrolment Form

Please complete the enrolment form and press 'submit' at the end!

Contact Information

We need details for the main point of contact (parent/carer) 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.

Parent/Guardian Name(Required)

First Last

Contact phone number(Required)

Contact email address(Required)

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

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 jess@futureyard.org an email to discuss.

Child's Name(Required)

First Last

Postcode(Required)

Child's D.O.B(Required)

DD slash MM slash YYYY

Child's gender(Required)

Male

Female

Non-binary

Prefer not to say

Prefer to self-describe

Gender - self-described - please specify(Required)

Child's ethnicity(Required)

White

Mixed or Multiple ethnic group

Asian or Asian British

Black, Black British, Caribbean or African

Other ethnic group

Ethnicity - White(Required)

English / Welsh / Scottish / Northern Irish / British

Irish

Gypsy or Irish Traveller

Roma

Any other White background

Ethnicity - Mixed or Multiple ethnic group(Required)

White and Black Caribbean

White and Black African

White and Asian

Any other Mixed or Multiple ethnic background

Ethnicity - Asian or Asian British(Required)

Indian

Pakistani

Bangladeshi

Chinese

Any other Asian background

Ethnicity - Black, Black British, Caribbean or African(Required)

Caribbean

African

Any other Black, Black British, or Caribbean background

Ethnicity - Other ethnic group(Required)

Arab

Any other ethnic group

Other ethnic group - please specify:(Required)

What school does your child attend?(Required)

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

Yes

No

Previous experience - please specify:(Required)

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

Guitar

Bass Guitar

Piano

Drums

Singing

Other(s)

Other Instrument(s) - please specify:(Required)

Any specific learning needs or preferences?(Required)

Yes

No

Any specific learning needs or preferences? - Please specify:

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.

Additional Needs Information

Consent for photos/videos + data

From time to time we capture our Band Clubs activity through photos and videos. These are used for the following: To share on Future Yard socials to celebrate successes and shout about our programme; In marketing materials that are used to advertise available places on our Band Clubs programme.

Do you consent for photos/videos to be shared of your child taking part in Band Clubs by Future Yard?(Required)

Yes

No

If you do not wish for your child to be included in these photos and videos, we will ensure they are out of shot.

I consent for Future Yard to use my data for use in relation to Band Clubs, in line with their GDPR policy.(Required)

Yes

We will only use your data to manage the smooth running of the course, and to make the best experience for your child. We will use your contact information for administrative purposes, to contact you in relation to the sessions. We may share anonymised personal information with funders in evaluating the project.

Additional Information

How did you find out about Future Yard Band Clubs?(Required)

Search Engine (Google, Bing etc)

Social Media

Family/Friend

Child's School

Colleague

Newspaper/Magazine

Leaflet/Flyer/Poster

Local event or community group

TV/Radio

Other Future Yard music programmes

Other

Other - please specify:(Required)

Social Media(Required)

Facebook

Instagram

X/Twitter

LinkedIn

TikTok

Any additional notes you'd like us to know: