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: £110 before 1st October
£120 before 1st November
£130 before 1st December - Deadline 1st December
Late applications £140

Cheque payable to: Cellos Rock!,
24 Maycross Avenue, Morden, Surrey SM4 4DA

-----Please write your name on the back of the cheque-----
Deadline 1st December 2011

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