Chamber Music Courses at Headington School 2021

Please complete a separate form for each course you wish to attend
Please return the form, with a deposit of £30 per person per course, to:
Alan Goodwin, 2 North Street, Oxford OX2 0AY  Email: alan@alangoodwin.co.uk

	Please tick the course you are applying for	
Tuesday 24th August to Friday 27th August		
Saturday 28th August to Tuesday 31st August		

Your Details	
Name:		
Address:	
	
Telephone:		
Email:		
Deposit:
£30 per person	£	Paid by	Cheque	BACS	
            	Payment by BACS: Sort code 30-11-27, Acc. No. 00011094
Payment by cheque: Please make cheque payable to Chamber Music Weekends	
If you are paying a deposit for other members of your group, please list them

Please list the members of your group	
Violin 1		
Violin 2		
Viola		
Cello		
Other 1		
Other 2		
OR Tick if you are not in a pre-formed group, and would like us to try to place you		

Do you want to be residential? Please circle/delete	YES	NO	
Please give details of any dietary requirements	
	
Any other comments?