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Application form 2011

Applicant name
Address
Town / City
County
Postcode
Contact telephone number
Email address
Date of Birth
Age on 01 Sept 2011
Current school attended
School address
School telephone number
How long have you been studying the guitar?
Last grade taken
Date of last grade exam (mm/yy)
Please give further details of current standard
Which exam board do you use?
Name of Guitar Teacher
Guitar Teacher's address
Guitar Teacher's email address
Have you had any ensemble experience?
If yes, please give further details
Which GUITAR CIRCUS branch are you applying for?
Emergency contact name / next of kin
Emergency contact telephone number
Do you have any medical conditions or allergies we should be aware of?
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We would prefer you to send your photo electronically if at all possible. If you are having any difficulties doing this, please send a copy of the photo to us along with your audition fee.
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The Arts Circus: 12 Parchment Stree, Winchester, Hampshire, SO23 8AZ
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Our terms and conditions can be found on this website. Please read them carefully before you submit this form.
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