Music Service Ensemble Membership

Music Service Ensemble Membership Consent Form
1. Ensemble Name*
2. Instrumental/vocal teacher's name*
3. Other Teacher Name
4. Instrument your child will be playing*
5. Child's Name*
6. Gender*
7. School*
8. Date Of Birth*
Safe Dismissal from Ensemble
1. Name of person collecting child*
  If child is travelling home alone, please type N/A
2. Relationship To Child*
  If child is travelling home alone, please type N/A
3. Has your child or anybody responsible for collecting or dropping off your child got any accessibility needs we should be aware of?*
  
  Yes
  
  No
4. Please give details of accessibility needs
5. I give permission for my child to travel home alone.*
  
  Yes
  
  No