Name of Applicant
Age of Applicant
Date of Birth
Name of Parent/Guardian/Sponsor
Phone
Emergency Contact/Mobile
Please note any experience you have in music technology or music performance
I agree to my Son/Daughters participation in the Crew/Live Sound Course and know of no medical reason why
they should not participate. I understand that participants are selected on merit and not on a first-come, firstserved basis.
I enclose the full fee of 60.00 (cheques payable to Youth Arts Jersey) I understand that if my son/daughters
application is unsuccessful this money will be returned to me in full. I understand that the fee is not
refundable should I withdraw my son/daughter.
I undertake to inform organisers if any of the above details change before or during the period of the course
SIGNED________________________________NAME (caps)_______________________________Date ___/___/20____
COURSE DATES