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CALVERT TRUST EXMOOR WORKSHOP 23-26 JANUARY 2012
APPLICATION FORM

Name: Age:
Address:
Postcode: Telephone no.
E-mail:
Diet:
Special dietary needs
(please specify):

It would be helpful if we know whether you have any musical experience or artistic interests. (This is definitely not essential as most participants and helpers are there to learn and to enjoy themselves!).
Other musical experience or artistic interests:

Will you be accompanied by a carer/friend/relative? . If ‘Yes’ …
Carer’s name:
Address:
Postcode: Telephone no.
E-mail:

When you are satisfied that you have completed the form correctly, please click the ‘Send’ button to e-mail it to SHARE MUSIC SOUTH-WEST, from where it will be passed to the Calvert Trust to process your booking.