Name of Child*

School*

Name of Parent*

Email*

Telephone*

Age Group*
—Please choose an option—8-10 year olds11-12 year olds13-15 year olds16-18 year olds

Workshop Type*
—Please choose an option—Writing a group songWriting your own songProduction & recording

Date*
—Please choose an option—IN PERSON 18th DecemberONLINE 18th DecemberIN PERSON 19th & 20th DecemberONLINE 19th & 20th DecemberONLINE 3rd & 4th AprilIN PERSON 3rd & 4th AprilONLINE 5th AprilIN PERSON 5th AprilONLINE 9th & 10th AprilIN PERSON 9th & 10th AprilONLINE 11th April

Songwriting Experience*
—Please choose an option—BeginnerIntermediateAdvanced

Closest City*

Any additional information including age & instruments played & level

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