GC TRAINING application 26July2010

Personal details
Your Name(required)
Address
Postcode
Contact number(required)
Email(valid email required)
Date of birth(required)
Age on 26 July 2010
Musical Education
Last grade taken?
Please give further details of your current standard
Name of Guitar teacher
Email address for guitar teacher
Have you ensemble experience?
Yes No
If YES please give details
Guitar Circus details
Have you auditioned for GUITAR CIRCUS before?
yes no
Emergency/Medical details
Next of kin name(required)
Emergency contact number/details for next of kin(required)
Any allergies or medical conditions you feel we should be aware of?
Terms and Conditions
*To confirm your place please send a cheque for £25 made payable to THE ARTS CIRCUS to the GUITAR CIRCUS Office at 17 Hyde Abbey Rd, Winchester, Hampshire SO23 7DA
*Please email a JPEG passport style photo to the GUITAR CIRCUS office: info@theartscircus.com
* By ticking the box below I give permission as the applicant for Guitar Circus and The Arts Circus to hold these details on a database for their exclusive use. These details will not be passed on to any third parties and will be held in the strictest confidence.
I agree
Please enter code to verify your application

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