Pulling Out The Stops Application Form 2012

Apply by Friday 30th March - but send no money until offered a place.

I should like to apply for a place on the POTS course 13th to 15th April, Oundle.

Surname:

Forename:

Date of Birth (dd/mm/yy):

Home Address:

Postcode:

Telephone:

Email:

School address:

Postcode:

Telephone:

Please tick for preferred correspondence address

Home
School

Please tick the boxes below 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

For security purposes, please enter the characters in the image:

Address

Oundle Music Trust
4 New Street, Oundle
Northamptonshire PE8 4ED

Box Office: 01832 274734
Administration: 01832 274919
Email: information@oundlefestival.org.uk

Pulling Out The Stops Application Form 2012

Apply by Friday 30th March - but send no money until offered a place. I should like to apply for a place on the POTS course 13th to 15th April, Oundle.

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Apply by Friday 30th March - but send no money until offered a place.

I should like to apply for a place on the POTS course 13th to 15th April, Oundle.