Students’ Application Form – Yorkshire Young Musicians

Yorkshire Young Musicians Application form

"*" indicates required fields

Student's Name*

First Last

Date of Birth

Current school year

Address*

Street Address City County / State / Region Postcode

Details of instruments to be studied

Main Instrument / voice

How long have you been studying?

Last examination taken (if any) - date

Grade

Result

Name of instrument / voice teacher*

First Last

Teacher email (if known)

Second Instrument / voice

How long have you been studying?

Last examination taken (if any) - date

Grade

School

School attended by student*

Give details of any ensembles, orchestras etc with which you currently play*

Does the applicant have any additional needs, medical conditions or access requirements we should be aware of? If yes, please give detail.

Parent/Carer

Name*

Preferred title First Last

Phone*

Phone (alternative)

Email*

How did you hear about YYM?

Date

Collection and use of your data:

Please ensure you notify the YYM office of any change in your personal information Records may be written down (manual records) or held on a computer (electronic record). The records may include: Basic details about you, such as address and contact details. Notes and reports about your music education whilst at YYM Administrative and teaching staff who have access to your personal information use it to provide a good basis for your music education at YYM.

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