Tuned Percussion Archives - Richmond Music Trust

Participant Details

Participant's Name*

First Last

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

Child's gender*

Participant's preferred pronouns

Participant's Date of Birth*

Participant'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 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 ?*

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 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

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

Richmond Youth Screen Orchestra (RYSO)

Register your child for their Free Trial Session

RYSO Sign Up Form

Participant Details

Parent/Carer Details (first emergency contact)

Second Emergency Contact Details

Consent

Richmond Youth Concert Band (RYCB)

Register your child for their Free Trial Session

RMT Ensemble Free Trial Session Registration

Participant Details

Parent/Carer Details (first emergency contact)

Second Emergency Contact Details

Consent