Name of Child*

School*

Name of Parent*

Email*

Telephone*

Age Group*
—Please choose an option—8-10 year olds11-12 year olds13-15 year olds16-18 year olds

Workshop Type*
—Please choose an option—Writing a group songWriting your own songProduction & recording

Date*
—Please choose an option—ONLINE 21st OctoberIN PERSON 21st OctoberONLINE 22nd & 23rd OctoberIN PERSON 22nd & 23rd OctoberONLINE 24th OctoberONLINE 28th OctoberIN PERSON 28th OctoberONLINE 29th & 30th OctoberIN PERSON 29th & 30th OctoberONLINE 31st OctoberONLINE 16th DecemberIN PERSON 16th DecemberONLINE 17th & 18th DecemberIN PERSON 17th & 18th DecemberONLINE 19th December

Songwriting Experience*
—Please choose an option—BeginnerIntermediateAdvanced

Closest City*

Any additional information including age/academic year & instruments played & level

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