Suffolk Youth Music personal information form

We will only be asking for your personal information once this 2021-2022 season. If your personal details change at any point throughout the year, please ensure that we are kept informed. 

Please read before completing the form

If you need any help completing the form, please phone the County Music Service on 01473 263400.

Please put a space between the area code and the last six digits of your phone number.

In your child's interest, it is important that the staff know whether they suffer from any illness or medical condition.

What activity/activities is your child a member of? Please tick all that apply.

A payment of £85 is required per member for each term of activities.

When you submit this form there will be instructions on how to pay online by debit/credit card.

How will you pay? Please choose one of the following:

I have read (or have had read to me) the photo/video policy and I consent to the following:

I consent to my image/voice being used in resources and publications produced by Suffolk County Music Service and Suffolk County Council.
I consent to my image/voice being used in Suffolk County Music Service and Suffolk County Council’s social media channels, which includes YouTube, Facebook, Instagram, Twitter and Flickr.
I consent to my image/voice being used in external publications (such as newspapers and magazines).
I consent to my image/voice being used in Suffolk Music Education Hub and Suffolk County Council’s website and intranet.
I consent to my image/voice being used in external websites (such as news organisations or partner websites).

 

Before you click submit, we would be very grateful if you could answer one more question.
How did you hear about Suffolk Youth Music? Please choose all that apply.

Once you have clicked 'submit' please wait for the page to refresh before closing your browser window.

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