Application Form
National Suzuki String Orchestra Course
Royal College of Music
Tuesday 7th, Wednesday 8th & Thursday 9th April 2015
PLEASE PRINT FORM OUT – COMPLETE & POST WITH YOUR CHEQUE TO ADDRESS BELOW – PLEASE WRITE VERY CLEARLY
th
Date of Birth
Age on 7
April 2015
Name of
Applicant
Instrument
Applicant:
Home Address
Player: Suzuki
Book level
and/or
Grade
Parent: Mob. No.
Parent:
Email Address
Player: Mob. No.
BSI Membership
Number
Some financial
assistance is
available –
please apply
here and
continue
overleaf
Name of current
Teacher
Teacher:
Phone number
Teacher: email
Please provide details of your recent orchestral experience – name of orchestra/repertoire played
continue overleaf as necessary
The course is non-residential – please make your own accommodation arrangements.
Participants should bring a packed lunch and refreshments each day.
Our preferred method of payment is cheque, but if you wish to pay by credit or debit card please send the form first and then
telephone the office on 020 3176 4170 with your payment details. We advise you not to send card details by post or email.
PLEASE NOTE that your application will not be valid until we have received both your form and payment.
I understand that as parent/guardian I will take full responsibility for my at all times while at the Royal College of Music. I also
consent for any photographic or video images of my child(ren) taken during the event to be used by the British Suzuki Institute in
future publications, website, teacher training and promotion.
Signature of Parent/Guardian:
Date:
Please complete and return this application and your cheque by 2nd March 2015 to:
Minette Joyce - Administrator, British Suzuki Institute,
Unit 1.35, The Lightbox, 111 Power Road, Chiswick London W4 5PY
Places are limited – you are advised to book early to secure a place.
The BSI will send you an email to confirm your place by 9th March 2015
and will also provide a schedule of rehearsal timings etc.