Pulling Out the Stops Application Form 2014

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Apply by Friday 21 March but send no money until offered a place. I should like to apply for a place on the ’Pulling Out The Stops’ course, 5 -7 April, Oundle.

Surname:

Forename(s):

Date of Birth (dd/mm/yy):

Home Address:

Postcode:

Telephone:

Email for correspondence:

School Address:

Postcode:

Telephone:

Please tick for preferred correspondence address:

Home School

Please tick the boxes that apply to you:

I have never played the organ before

I have had some organ lessons already

I have passed a piano exam

I have passed an organ exam

I am a chorister in a Choir

If you have had some organ lessons already, for how long? (wk/mth/yrs):)

Piano exam grade/board (if applicable)

Organ exam grade/board (if applicable)

Which Choir do you attend (if applicable)

And tell us more about your lessons:

Organ Teacher (if applicable):

Teacher’s telephone:

Teacher’s email:

Piano Teacher (if applicable):

Teacher's telephone:

Teacher's email:

Organ music recently studied:

(piano)

Oundle for Organists courses previously attended:

Reference: Please arrange for a reference from your organ or piano teacher
to be sent to the address below either by post or email.

Please tell us where or how you heard about Oundle for Organists courses:

I would like to apply for a bursary to attend POTS (If YES, please complete the bursary application form)

Yes No

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