Entry Form for Secondary & Adult Choral Days and Georgian Music

Friday 23rd, Saturday 24th & Tuesday 20th March 2012

Closing date for entries: Wednesday 18th January 2012

Please complete all fields marked with an *

Contact Details

Person to whom correspondence should be addressed:

Please indicate *

Name *

Address *

Address

City *

Postcode *

Telephone *

Mobile

Email *

Name of teacher

Telephone

Entry

Class no *

Class name

Class fee (£)

If a group:
Name of conductor

No. in
group


Name of group


Type

Special
Needs

Work(s) to be performed

*Title

Composer/Arranger *

Publisher

Duration (mins)

For Georgian Class only:

Instruments involved:

Name of own accompanist:

Agreement

I have read and agree to abide by the General Rules and Music Rules contained in the current syllabus. *

I have read and understood the Child Protection Policy *

Payment

Total payment required (£)

Payment may be made electronically quoting ref SACG2012 and name or by cheque.

Please indicate *

Bacs

Cheque

Bacs Clearing Bank Number 60-02-05. Account Number 59342072.

Cheques should be made payable to Mid-Somerset Festival and sent to Elizabeth Turner, Inglestone House, Inglesbatch, Bath BA2 9DZ within 5 working days

Entries will not be processed until fees are received.

Confirmation of receipt will be sent via email.