Saturday Music School Open Day Booking Form

Saturday Music School Open Days are on 17 March and 19 May from 10am. Please contact sms@lcm.ac.uk for more information.

Fields marked with a * are required

Please select which Open Day you would like to attend

17 March 2012

19 May 2012

First Name *

Surname *

Male/Female

Date of Birth *

Year

Month

Day

Age *

Instrument/voice *

Address *

Town/City *

Postcode *

Telephone (parent/carer if under 16)

Email (parent/carer if under 16)

Confirm Email

Please state the total number of people, including yourself, who will be attending the Open Day

Accessibility - If you require any special arrangements to access the Open Day please enter them below.

How did you find out about the Open Day?

If other please state here

yes

I give my consent in accordance with the principles of the Data Protection Act 1998 for my personal details to be held by Leeds College of Music for the purpose of marketing. I may withdraw my consent for the College to hold this information at any time.

For more information on the Data Protection Act visit: www.dataprotection.gov.uk

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Saturday Music School Open Day Booking Form