Application for Lichfield Choral Course 2016

Lichfield Choral Course 2016

* Required Field
Name of student*
Date of birth*
Gender*
Current school
School year group*
Does your child have any particular experience with music (e.g. plays an instrument, sings in a choir)? Please specify and give an indication of standard were possible*
Voice type*
Soprano
Alto
Tenor
Baritone
Bass
Unsure
Name of parent*
Home address (inc post code)*
Parent email address*
Contact in case of emergency on the day (name and telephone)*
Does your child have any dietary requirements, allergies or medical conditions of which we should be aware?*
Yes
No
If yes, please specify
I consent for the above named student to participate in the Lichfield Choral Course at Lichfield Cathedral*
Yes
No
I consent for the above named student to arrive and depart this course on their own*
Yes
No

(If no above, we will expect a parent to sign their child in and out on drop off and collection)

I consent for my child to be photographed during the course and for images to be used in the press or in printed materials or on our websites*
Yes
No
I choose to pay the £30 charge for the course*
By cheque
By BACS Transfer

Payment Options:

Either pay by cheque made payable to Lichfield Cathedral School and posted to Lichfield Choral Course, 11 The Close, Lichfield, Staffordshire WS13 7LD

Or pay by BACS Transfer to Santander, Account Name: Lichfield Cathedral School, Account Number 01251287, Sort Code 09-07-20. Please add reference: Lichfield Choral Course

Thank you for completing the form.

Verification*
Slide the arrow to the right to complete verification.

SUBMIT


Lichfield Cathedral School by Numbers

1553 Year Lichfield gained city status
512 Pounds raised by Years 7 & 8 last charity day
5500 Litres of milk consumed in a year
1617 Famous Lichfeldian Elias Ashmole born in this year