Enigma application form – Rachel Cooper

Please fill in the application form below and submit it ASAP. Places are limited and it will work on a first come first served basis. A £50 deposit will be required to secure a place. Information on how to do this will be sent once application forms are received.

Name of parent/carer

Email address

Telephone number

Postal address

Number and details of child participants

Number of children

One Two Three

Child One Name

Child One Age

Age at time of course

Child One Instrument(s)

Child One Level / Ability

Disabilities / special needs

Please note down any disabilities that I need to be aware of

Allergies / dietary requirements

Notes

Anything else I should be aware of

Data and Application Submission

Please confirm that you give us permission to handle your information.