Transmission application Student Name (required) Date of Birth (required) Name of School Level of Study (GCSE MUSIC, BTEC LEVEL 2 MUSIC) Instrument (Strings, Percussion, Wind, Brass, Voice, Other, please specify) Tell us, in no more than 100 words, why you’d like to join this programme: (Please consider what you think you’d get from the programme, why you’re interested in learning about composition, what genre of music you’d like to make etc.) Use this space to tell us anything else about your music experience and interests so far. (have you composed before? What are your musical influences? What are your musical ambitions? You can include links to any soundcloud/youtube/websites to show previous experience if you have any) Please state any Allergies / Medical Conditions / Access Needs FOR PARENTS/GUARDIANS: I give permission for my child / ward to take part in this project (required). YesNo Parent Name (required) Parent Email (required) Parent Phone Number (required) I consent to SoundStorm using photos or film footage of my child for printed publications, website and social media: No personal information, such as names, will be used in any publications unless expressed consent is given. YesNo To read our full privacy statement please follow this link: https://soundstorm-music.org.uk/privacy-notice/ SoundStorm is committed to offering exciting musical progression initiatives for young people. Please tick here if you are happy for us to contact you about more events and workshops in the future:. YesNo In applying to join this programme, I confirm that my child is available to attend the initial composition masterclass on 13th January 2019. YesNo Any questions or concerns please email Rachel at Rachel.firstname.lastname@example.org.