Enact Music Summer Scheme 2025
Use this form if you are registering for a child or young person for Enact Music's Summer Scheme. Please note that for the purposes of the scheme we are only enrolling learners aged 6 to 14 (inclusive) . For all applicants only a parent or guardian must fill out this form. You can use this form to enroll up to three students designated here as student 1, student 2 and student 3. We collect and use your information to carry out our business as a music education provider to exercise our duty to deliver music education to you. Before filling out this form, please read our Privacy Policy here: https://www.enactmusic.com/privacy-policy-regarding-website-usage Shall you have any questions, do not hesitate to contact us.
Details of person filling out this form
Your first and last name
Email
Phone Number
Drop off and pick up times
Drop off time is no earlier than 8.45 am and pick up time, no later than 3.15 pm. However, if you need earlier or later times, we can arrange this at a cost of £5 per hour/day per family.
Do you need to drop off your child or children at or between 7.45 and 8.45 am
Yes
No
Do you need to pick up your child or children after 3.15 pm?
Yes
No
If you answered 'Yes' to the question above, let us know the exact pick up time needed. Please note that the latest available time is 5.15 pm.
Name of authorised person that will pick up your child or children (if other than you)
Phone number of person authorised to pick up your children (if other than you)
Student 1 Information
What is Student 1 full name?
What is Student 1 Date of Birth?
What is Student 1 age?
What week or weeks is student 1 enrolling for?
Week 1: 7 - 11 July (inclusive)
Week 2: 14 - 18 July (inclusive)
Week 3: 18 - 22 August (inclusive)
Not enrolling for a full week, but for one or more days
If Student 1 is enrolling only for specific days, please detail the required day or days below
Please provide details of Student 1 previous musical learning experience (if any).
Does Student 1 have any allergies, special needs or conditions that we should know about to ensure a safe learning environment and support learning?
Yes
No
If you answered 'yes' to the question above, please specify, letting us know about any provisions or requirements needed.
Student 2 Information
What is Student 2 full name?
What is Student 2 date of birth?
What is Student 2 age?
What week or weeks is student 2 enrolling for?
Week 1: 7 - 11 July (inclusive)
Week 2: 1 4 - 18 July (inclusive)
Week 3: 18 - 22 August (inclusive)
Not enrolling for a full week, but for one or more days
If Student 2 is enrolling only for specific days, please detail the required day or days below
Please provide details of Student 2 previous musical learning experience (if any).
Does Student 2 have any allergies, special needs or conditions that we should know about to ensure a safe learning environment and support learning?
Yes
No
If you answered 'yes' to the question above, please specify, letting us know about any provisions or requirements needed.
Student 3 Information
What is Student 3 full name?
What is Student 3 date of birth?
What is Student 3 age?
What week or weeks is student 3 enrolling for?
Week 1: 7 - 11 July (inclusive)
Week 2: 14 - 18 July (inclusive)
Week 3: 18 - 22 August (inclusive)
Not enrolling for a full week, but for one or more days
If Student 3 is enrolling only for specific days, please detail the required day or days below
Please provide details of Student 3 previous musical learning experience (if any).
Does Student 3 have any allergies, special needs or conditions that we should know about to ensure a safe learning environment and support learning?
Yes
No
If you answered 'yes' to the question above, please specify, letting us know about any provisions or requirements needed.
Emergency Contacts
Please provide us with two contacts we can approach in an emergency.
Emergency Contact 1
First and last name
Relationship
Mobile Number
Work Phone Number
Home Phone Number
Address
Emergency Contact 2
First and last name
Relationship
Mobile Phone Number
Work Phone Number
Home Phone Number
Medical Information
Family Doctor
Address
Phone Number
Do you allow us to take you or your child(ren) to hospital in an emergency?
Yes
No
Do you allow us to administer first aid shall it be needed (including the use of hypoallergenic bandage, adhesive take, CPR)?
Yes
No
Do you allow us to share the medical information contained in this form with individuals involved in care and education (this includes emergency services)?
Yes
No
If you or any students you are registering have been prescribed Asthma inhalers or Epipen medicine you will ensure the student carries this medicine with them at all times during lessons and educational activities provided by Enact Music?
Yes
No
I understand that I must notify Enact Music of any relevant medical information changes in writing
Yes
No
Disclaimers and permissions
I want to subscribe to the mailing list to keep informed of offers and events
Do you allow photographs/filming to be taken for use in promotional materials?
Yes
No
I understand that Enact Music does not accept responsibility for loss of money, valuables, or personal property, including musical instruments.
Payment Information
Payment is required in advance to secure your place. Upon receipt of this form, we will promptly reach out to you with an online payment link. Spaces will be confirmed on a first-come, first-served basis for those who have completed full payment. Please be aware that refunds will only be issued in the event of scheme cancellation by Enact Music, as we incur costs associated with planning and execution, and require a minimum number of students to ensure cost-effectiveness.
Enact Music's Summer Scheme 2025 Terms and Conditions can be found at https://www.enactmusic.com/t-c-summerscheme2025. Please ensure you read it prior to submission. If you have any questions please drop us an email at info@en-actmusic.com
I have read and agree to the terms & conditions
Submit