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Thurrock Council Music Services Application for ensemble membership How we will use your information We will use your information to provide the service requested. We may share your personal data between our services and with partner organisations, such as government bodies and the police. We will do so when it is of benefit to you, or required by law, or to prevent or detect fraud. To find out more, go to thurrock.gov.uk/privacy . Get free internet access at libraries and community hubs. Applicant details First name Surname Address, including postcode Email address Phone number Mobile number Music school attended Instrument Standard attained

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Thurrock Council - Application for ensemble membership

Thurrock Council Music ServicesApplication for ensemble membershipHow we will use your information

We will use your information to provide the service requested. We may share your personal data between our services and with partner organisations, such as government bodies and the police. We will do so when it is of benefit to you, or required by law, or to prevent or detect fraud. To find out more, go to thurrock.gov.uk/privacy. Get free internet access at libraries and community hubs.

Applicant details

First name

     

Surname

     

Address, including postcode

     

Email address

     

Phone number

     

Mobile number

     

Music school attended

     

Instrument

     

Standard attained

     

Applicants under the age of 18

Date of birth

     

Day school attended

     

Parent or carer title

     

Parent or carer initials

     

Parent or carer surname

     

Children with special educational needs, physical or learning disability

If this application is for a child with special educational needs, or a physical or learning disability, please give details below. We may not be able to make special provision without these details.

     

Please select the ensembles you would like your child to join:

Strings – violin, viola, cello and double bass

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Beginner, intermediate and advanced strings

Hassenbrook Academy, Stanford-le-Hope

Saturday, 10am to 11am

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Beginner strings

High House Production Park, Purfleet

Tuesday, 5pm to 5:30pm

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Stanford-le-Hope string group

Stanford-le-Hope Primary School, Stanford-le-Hope

Wednesday, 4:45pm to 5:45pm

Guitar

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Beginner, intermediate and advanced guitar

Hassenbrook Academy, Stanford-le-Hope

Saturday, 10am to 11am

Rock School – guitar, keyboard, drums and vocal

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Rock school

Gable Hall School, Stanford-le-Hope

Monday, 4:45pm to 5:45pm

Choirs

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Gospel choir (ages 8 to 18)

High House Production Park, Purfleet

Tuesday, 5:45pm to 7:30pm

Woodwind

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Clarinet choir

Hassenbrook Academy, Stanford-le-Hope

Saturday, 9:30am to 10am

Wind and jazz bands

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Junior wind band

Hassenbrook Academy, Stanford-le-Hope

Saturday, 10am to 10:30am

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Jazz and improvisation

Hassenbrook Academy, Stanford-le-Hope

Saturday, 10:30am to 11am

Thurrock youth orchestras

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Youth Training Orchestra

High House Production Park, Purfleet

Tuesday, 5:30pm to 6:30pm

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Youth Orchestra(audition required)

High House Production Park, Purfleet

Tuesday, 6:45pm to 8:30pm

Please email completed form to:[email protected]

Alternative, send by post to:Thurrock Music Services, High House Production Park,Vellacott Close, off London Road, Purfleet, RM19 1RJ