Student Information

First name (required)

Surname (required)

Correspondence address, including postcode (required)

Telephone (H)

Mobile

Your email (required)

Age at time of course (required)

Date of birth (required)

Gender
MaleFemale

First language (required)

Nationality (required)

Parent/guardian Name (required)

Emergency contact details (if different from above) for use during the course

Current school (required)

What course(s) are you applying for?
Wind, Brass and PercussionJazzString

What are you applying for?
ResidentialDay

Main instrument to be played on the course (required)

Last grade taken (and approximate standard if different)

Approximate grade by time of course (required)

Name of school or music or instrumental teacher who is recommending you for the course (if applicable)

Other instruments played/grades taken (if applicable)

Please tick to confirm you have instrument insurance cover in place.

Please state your reason(s) for taking this course (required)

If appropriate please provide any additional information relevant to your stay in Wells

Where did you hear about our course?

Course Specific Information

Percussion students: Please specify what, if any, instruments you own and whether you’re able to bring them to the course.

Jazz students: To help us plan the week please describe your jazz and improvising experience, including bands you play in, your level of improvising, any jazz grades, your understanding of jazz theory/harmony, tunes you are working on etc. You may add as much detail as you wish.

International Students

Please indicate your standard of English by ticking the boxes below.

Spoken English

IntermediateAdvanced

Written English

IntermediateAdvanced

Medical Information

Name and address of family doctor (required)

Does your child have private medical insurance cover?

YesNo

If yes, please give the name, address & policy number

Medical History

Does your child suffer from (tick as appropriate)

AsthmaEczemaEpilepsyDiabetes

If yes, please give brief details

Please give details if your child has any allergies to food, medication or stings.

Please give details if your child is on any medication.

Please give details if your child has a special diet.

Please give details if your child has travelled abroad recently (other than the UK).

If your child wears glasses/contact lenses, please state when he/she was last tested.

Please give details if your child has ever been treated in hospital.

Please give details if your child has had any operations or severe illnesses not mentioned above.

Please provide details of any special needs or disabilities your child may have.

Childhood Diseases

Please give the date when your child has had these illnesses (if applicable)

Chicken pox
Mumps
Diphtheria
Measles
Rheumatism
Rubella
Scarlet Fever
Whooping Cough

Epi-Pens

If your son/daughter carries an epi-pen, please provide him/her with two spare epi-pens in addition to the one your child carries. An epi-pen will be given to the member of staff supervising your child to be used in case of emergency.

Photography and Film Permission

During the summer schools, staff and external photographers will photograph or film participants and staff. Below are listed the places where these photographs and videos may be used:

  • the school websites
  • the school’s social media channels
  • the school's newsletters or magazines
  • other marketing and publicity material for the school and its associated business and outreach
  • press releases to local and national newspapers
  • sharing recorded concerts with parents, guardians and friends.

Please indicate your permission below as appropriate (required):

I do give permission for my son/daughter being photographed and filmed for the activities listed aboveI do not give permission for my son/daughter being photographed and filmed

Terms and Conditions

I confirm that I have understood and accept all Terms and Conditions.

Making a Payment

Please note that we will email you confirmation of your booking with this link that you'll need to follow in order to make payment. Your booking won't be finalised until payment has been made. You will need to set up an account the first time you book a course.


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