Pupil Registration Aut 18

Special Initiative / Event Pupil Registration Form

Please only complete this form to register your child's interest in taking part in one of Leicester-Shire Schools Music Service events or special initiative projects. Please note that completion of this form does not guarantee your child a place. Details of our Privacy Policy and how we will use your data can be found at https://leicestershiremusichub.org/privacy. Please read this before completing the questionnaire.

Please note: Complete separate forms for each child you wish to register and do not use the back button on your browser/device as you may lose your response.

Q1	Which Event / Special Initiative are you registering your interest for?
	Title of Event:

Your Details

Q2	Please provide your contact details.
	Name:

	Email Address:

	Phone Number:

Q3	Please provide Emergency contact details.
	Name:

	Telephone:
	(This information will only be used in case of Emergency on the day of the event)

	Name 2:

	Telephone 2:
	(This information will only be used in case of Emergency on the day of the event)