MUSICAL HORIZONS APPLICATION FORM

CLOSING DATE 25TH MAY 2016 – 4 PAGES TOTAL

Reference/Receipt No. from Hawk’s Well Theatre.
(We cannot process application without this)
Student Full Name
Age & Date of Birth / Age DOB
Address
Parent Contact Name(s)
Parent Contact Number(s)
Email
Does the participant have any special needs, medical illnesses or allergies?
If yes please give detail
Please list any medication being taken
Do you wish to buy lunch at Summerhill College Canteen approx. cost €40/week, to be confirmed.
Any other relevant information.
This form is for the purpose of complying with the Music Generation Sligo/
Mayo Sligo Leitrim ETB Child Protection Policy.
All information in this form will remain confidential. Your contact details will be added to the MGS database and will not be shared. Photographs/videos may be taken for publicity purposes.

PLEASE CONSIDER & COMPLETENEXT SECTION CAREFULLY AND IN BLOCK CAPITALS

Please choose six options from the list below and provide all details required. Five classes will be taken daily from Monday to Friday, a sixth option must be provided in the event that one of your choices is not available. Please list your choices numbered 1-6 (6 being the choice if a class is not available).

Options / Level Required / Provide Information Required / Choice 1-6
Piano Tuition(Classical/
Jazz) / Preliminary - Senior Cert or minimum 1 years tuition / State Grade/ Experience/ Teacher
WoodwindTuition
(Recorder, Piccolo, Flute, Oboe, Clarinet, Saxophone, Bassoon) / Minimum 2 years tuition and able to read music / State Instrument/ Grade/ Experience/ Teacher
Strings Tuition (violin, viola, cello, double bass) / Minimum 2 years tuition and able to read music / State Instrument/ Grade/ Experience/ Teacher
Voice Tuition / No minimum requirement / State Grade/ Experience/ Teacher - if any
Guitar Tuition / Minimum 1 years tuition / State Grade/ Experience/ Teacher
Drums Tuition / Minimum 1 years tuition / State Grade/ Experience/ Teacher
Ukulele Tuition / No minimum requirement / State Beginner / Grade/ Experience/ Teacher / Do you own an instrument?
Harp Tuition / No minimum requirement / State Beginner / Grade/ Experience/ Teacher / Do you own an instrument?
Uilleann Pipes Tuition / No minimum requirement / State Beginner / Grade/ Experience/ Teacher / Do you own an instrument?
Bass Guitar Tuition / Minimum 1 years guitar guition / State Beginner / Grade/ Experience/ Teacher / Do you own an instrument?
Senior Orchestra
Performance / Minimum standard Grade 4 Violin. All other instruments Grade 3. / State Instrument/ Grade/ Experience/ Teacher
Junior Orchestra
Performance / Minimum standard Preliminary Grade or 1 years experience / State Instrument/ Grade/ Experience/ Teacher
Jazz Orchestra
Performance / Minimum standard Grade 3 or 4 years experience / State Instrument/ Grade/ Experience/ Teacher
Rock Band
Performance / Guitar/Bass/Drums/Singers/Keyboard
Minimum 1 years experience / State Instrument/ Grade/ Experience/ Teacher
Composition (Age 13-18) / Grade 5 /5 years experience. Able to read music / Limited places. Please state your interest in composition on an additional sheet, what instrument(s) you play and musical activities to date
Samba Drumming / No minimum requirement
Explore
Orchestral Percussion / No minimum requirement
Piano Ensemble Performance / Preliminary - Senior Cert or minimum 1 years experience / State Grade/ Experience/ Teacher
Film (create your own music video) (13+) / No minimum requirement
Art & Animation (7-12years) / No minimum requirement
Anything Goes Stage School
Performance
(7-12years) / No minimum requirement / Perform with a group and get your show-stopper ready for stage
Anything Goes Stage School
Performance
(13+) / No minimum requirement / Perform with a group and get your show-stopper ready for stage
Song Writing / No minimum requirement
Music Technology / No minimum requirement / Explore music apps & more. Bring your own device - iPad / tablet/ smart phone/ iPod
Choir
Performance / No minimum requirement

Participants for instrumental classes MUST bring their own instruments.

Keyboards, drums/percussion will be provided.

Ukuleles, harps, uilleann pipes & bass guitar will be provided for beginners if required.

Please ensure both the instrument and storage case are labelled with the participants name. Participants will be responsible for their own instruments.

Limited spaces are available in some classes and they will be filled on a first come first served basis.

DEADLINE FOR ALL APPLICATIONS IS WEDNESDAY 25THMAY–

AFTER THIS DATE WE CANNOT GUARANTEE PLACES

POST/EMAIL TO

Music Generation Sligo, Mayo Sligo Leitrim ETB, Quay Street, Sligo

. Tel: 071 913 8306

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