Name of Child*

School*

Name of Parent*

Email*

Telephone*

Age Group*
---8-10 year olds (10am-1pm)11-12 year olds (10am-1pm)13-15 year olds (2-5pm)16-18 year olds (2-5pm)8-10 year olds (10am-12pm)11-12 year olds (10am-12pm)13-15 year olds (2-4pm)16-18 year olds (2-4pm)

Date*
---ONLINE 15th FebruaryONLINE 16th & 17th FebruaryIN LONDON 16th & 17th FebruaryONLINE 18th FebruaryONLINE 28th MarchONLINE 29th & 30th MarchONLINE 31st MarchONLINE 4th AprilONLINE 5th & 6th AprilIN LONDON 5th & 6th AprilONLINE 7th AprilONLINE 11th AprilONLINE 12th & 13th AprilIN LONDON 12th & 13th AprilONLINE 14th April

Songwriting Experience*
---BeginnerIntermediateAdvanced

Closest City*

Any additional information including age & instruments played & level

Where did you hear about us?