Cellos Rock! Pages

Cellos Rock Application Form

* Required field

Name:  *
Age:  *
Address:  *
 
 
Postcode:  *
Phone Number:  *
email:  *
Special Requirements (Allergies, dyslexia etc):
Emergency Contact (Name and Number):
Current Teacher:
Grade:
School:
Fee: £130 Deadline 1st December 2010
Late applications +£5
Early application discounts:
Before 1st October -£10
Before 1st November -£5
Bursaries: A small number of bursaries are available to enable those with a need for financial assistance to attend CELLOS ROCK! If you would like to be considered for one, please tick the box below and we will contact you as soon as possible. Please note that these are allocated on a first-come, first-served basis, so please do make sure you apply early.
Bursaries:
 

cellos Rock!

a fun few days

of cello and music