LEICESTER-SHIRE SCHOOLS MUSIC SERVICE
STRINGS
BRASS
WOODWIND
APPLICATION FORM
PERCUSSION
INSTRUMENT ………………………………………………………….……………………………..……..
LEGAL NAME ………………………………….……………..……..…….…….……………………..……
DATE OF BIRTH ………………………..……AGE ……..…….……….. MALE / FEMALE (DELETE)
EMAIL ADDRESS (if regularly used) ……………………………….……………………...……………
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POSTAL ADDRESS ……………………………….………………………….…………..…..………….…
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…………………………………………… POST CODE ……….……………….……….…………………
TELEPHONE: DAY ……………..………………….… EVENING …………….………………………..
PRESENT DAYTIME SCHOOL ……………………….…………………………….……………….……
SCHOOL YEAR ( i.e. YR 8) …………………………………...….…………………………………...….
NAME OF INSTRUMENTAL TEACHER ………………………………………….….………………….
ESTIMATED CURRENT PLAYING STANDARD TO GRADE ………………………………….….…
LAST EXAM: GRADE ………….….. RESULT ………….…… DATE TAKEN ……….………..……
CURRENT BAND / ORCHESTRA / ENSEMBLE, IF APPLICABLE
…………………………………….……………………………………………………………..……………
I WOULD LIKE TO JOIN - (please indicate 1st and 2nd choices below)
1st Choice ………………………………….
2nd Choice …………………………………
EVENING ENSEMBLE IF APPLICABLE
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Please either save, complete and email this form to auditions@leics.gov.uk
Or print off a copy, complete and post it back to
Andy Wales, Leicester-Shire Schools Music Service, Abington House,
85 Station Road, Wigston, Leicester, LE18 2DP
NB, LSMS cannot guarantee that you will be offered a place in your preferred group
as outlined in the audition information on our website
www.leicestershiremusichub.org – Get Involved – Join an Ensemble, Band or Orchestra 2015 / 2016