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Take part » County Music Groups » SYJO application and personal information form

SYJO application and personal information form

We will only be asking for your personal information once this 2023-2024 season. If your personal details change at any point throughout the year, please ensure that we are kept informed.

Please read before completing the form

A completed form is required for each individual member at the start of each academic year.
There are seven sections to complete.
Please read our Audio/Visual Permissions policy.
Please read our Terms and conditions of membership.
Please read our Remissions policy.

If you need any help completing the form, please phone the County Music Service on 01473 263400.

Page 1 of 7

Today's date

Member's first name(s) in full

Member's last name

Are you

Date of birth

Age

Year Group

What instrument are you applying on? (please select all that apply)

Trumpet
Trombone
Saxophone (Alto)
Saxophone (Tenor)
Saxophone (Baritone)
Drums/Percussion
Guitar (Electric)
Guitar (Bass - electric or upright)
Keyboard/Piano

What is your current playing standard?

School/College attending

Address line 1

Address line 2

Town/City

County

Postcode

Your first name

Your last name

Please put a space between the area code and the last six digits of your phone number.

Parent/Carer home telephone number

Parent/Carer mobile number

Parent/Carer email address

Full name

Relationship

Telephone / Mobile numbers

In your child's interest, it is important that the staff know whether they suffer from any illness or medical condition.

Please use this space to state, in confidence, any health or other matter concerning your child of which accompanying staff should be aware, and also if your child is receiving medication, with details and dosage.

Additional needs / disabilities

Member's Ethnicity

Are you available for the rehearsal day on Sunday 22 October 2023?

Please select
Yes
No

If you are not available for Sunday 22 October 2023, please state the reason here.

Are you available for the rehearsal day on Saturday 11 November 2023?

Please select
Yes
No

If you are not available for Saturday 11 November 2023, please state the reason here.

Are you available for the rehearsal day on Sunday 12 November 2023?

Please select
Yes
No

If you are not available for Sunday 12 November 2023, please state the reason here.

Are you available for the rehearsal day on Saturday 25 November 2023?

Please select
Yes
No

If you are not available for Saturday 25 November 2023, please state the reason here.

Are you available for the rehearsal day on Saturday 17 February 2024?

Please select
Yes
No

If you are not available for Saturday 17 February 2024, please state the reason here.

Are you available for the rehearsal day on Sunday 18 February 2024?

Please select
Yes
No

If you are not available for Sunday 18 February 2024, please state the reason here.

Are you available for the rehearsal day on Monday 19 February 2024?

Please select
Yes
No

If you are not available for Monday 19 February 2024, please state the reason here.

Are you available for the rehearsal day (and concert) on Tuesday 20 February 2024?

Please select
Yes
No

If you are not available for Tuesday 20 February 2024, please state the reason here.

Are you available for the rehearsal day on Saturday 11 May 2024?

Please select
Yes
No

If you are not available for Saturday 11 May 2024, please state the reason here.

Are you available for the rehearsal day on Sunday 12 May 2024?

Please select
Yes
No

If you are not available for Sunday 12 May 2024, please state the reason here.

Are you available for the rehearsal day on Saturday 6 July 2024?

Please select
Yes
No

If you are not available for Saturday 6 July 2024, please state the reason here.

Are you available for the rehearsal day on Sunday 7 July 2024?

Please select
Yes
No

If you are not available for Sunday 7 July 2024, please state the reason here.

A payment of £400 (£200 for SYM members, £100 for CMG members) is required per member for the season.

Details of how you pay will be emailed to you separately.

I agree to make the required payments for membership

I have read (or have had read to me) the photo/video policy and I consent to the following:

I consent to my image/voice being used in resources and publications produced by Suffolk County Music Service and Suffolk County Council.

Yes
No

I consent to my image/voice being used in Suffolk County Music Service and Suffolk County Council’s social media channels, which includes YouTube, Facebook, Instagram, Twitter and Flickr.

Yes
No

I consent to my image/voice being used in external publications (such as newspapers and magazines).

Yes
No

I consent to my image/voice being used in Suffolk Music Education Hub and Suffolk County Council’s website and intranet.

Yes
No

I consent to my image/voice being used in external websites (such as news organisations or partner websites).

Yes
No

I have read and understood the terms and conditions of membership

Before you click submit, we would be very grateful if you could answer one more question.

How did you hear about Suffolk Youth Jazz Orchestra? Please choose all that apply.

Already a member
My teacher
Via Social Media
Via the Suffolk Music Hub website
I saw a poster displayed advertising it
Other - please say in the box below

Once you have clicked 'submit' please wait for the page to refresh before closing your browser window.

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