New Levels sign up – Lewisham Music

Participant details

Full name

Date of birth

Gender

Current school/college (if applicable)

Current school/college year group (if applicable)

Home address

Postcode

Contact details

Contact name (must be parent/carer if under 16)

Email address

Mobile telephone number

Emergency contact name 1

Emergency contact number 1

Emergency contact name 2

Emergency contact number 2

Other details

Is the participant a Looked After Child (in care)?

Does the participant have any special needs, medical conditions, allergies or access requirements?

If YES, please give details below:

Does the participant qualify for Free School Meals?

How would you describe the participant's ethnicity?

Participant's interests/experience

What instruments and/or music production software does the participant use? Please list everything.

Tell us about your interests and/or experiences and why you'd like to take part in this project.

Confirmation

At times during projects we may take photos and/or video footage in which your child could appear. We may feature these in Lewisham Music online publicity, including our website and social media pages, and general print publicity, including programmes and leaflets, and local, national or international press in support of Lewisham Music stories. Do you give consent for photos or videos of your child to be taken and used in the ways described above, now and in the future?

How did you find out about this project?

Would you like to be added to Lewisham Music's mailing list and receive regular updates from us and our partner organisations, including events, projects, opportunities, news and much more?

Please check the information you have entered above, if you are happy then please submit your application by clicking the button below and a member of the Lewisham Music team will be in touch shortly to discuss.