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 25th OctoberONLINE 19th & 20th OctoberONLINE 26th & 27th OctoberONLINE 19th, 20th & 21st OctoberONLINE 26th, 27th & 28th OctoberIN LONDON 19th & 20th OctoberIN LONDON 26th & 27th OctoberONLINE 20th & 21st DecemberONLINE 20th, 21st & 22nd DecemberIN LONDON 20th & 21st December

Songwriting Experience*
---BeginnerIntermediateAdvanced

Closest City*

Any additional information including age & instruments played & level

Where did you hear about us?