Summer School Enrolment Form

Summer School Enrolment

Student First Name

Student Last Name

Pronouns

Date of Birth

Choice of Program

Permission Permission I give permission for the student to be included in photos taken by the music school during the class that maybe used on social media and other publicity materials.

Emergency Contact First Name

Emergency Contact Last Name

Pronouns

Relationship to Student

Address

Telephone

Terms & Conditions Terms & Conditions I have read the terms & conditions and agree

Mailing List Mailing List I wish to receive emails from Brick Lane Paisley