Orchestral Academy Registration Form

Which Academy are you enrolling in?*

Percussion Academy
Senior Strings Academy
Home Music Programme
Brass Academy

Participant's details

Young Person’s First Name*

Young Person’s Last Name*

Instrument*

Current Instrument Study Grade or equivalent*

Does the participant have any instrumental or music experience already? Tell us below*

Please tell us a little about your playing experience. Do you play in any regular ensembles in normal circumstances?*

Video upload

In order to help us prepare the best repertoire for this ensemble, please record a video of you playing something that you enjoy.

This can be shot on a camera phone or tablet device.
Please introduce yourself and your piece at the start.
The video should be no more than 2 minutes in length.
It is ok if you only play part of a piece, just choose a suitable ending at the end of a phrase or section.

You’ll need to upload to video to https://wetransfer.com and then paste the link below.

If you experience any issues have troubles, please email the video directly to emma.barnett@operanorth.co.uk

Wetransfer link*

Emergency Medical and Contact Details

Date of Birth*

Age on 26 October 2020*

School*

School year*

Gender*

Does the participant consider themselves to have a disability?*

Yes
No

Please describe the disability and how we might best remove any barriers to participation in this activity*

Does the participant have any medical condition(s) we should be aware of?*

Yes
No

Please explain below and detail any necessary medication needs*

Does the participant have any dietary requirements or food allergies?*

None
Vegetarian
Vegan
Dairy Free
Lactose Free
Nut Free
Halal
Gluten Free
Other

Please describe*

Ethnic Group*

Please describe*

Parent / Carer 1 Details

Parent / Carer Name*

Relationship to young person*

Address*

Street Address Address Line 2 City Region Post code Country

Email*

Mobile phone number*

Parent / Carer 2 Details

Parent / Carer Name*

Relationship to young person*

Email*

Mobile phone number*

Emergency Contact

In the case we cannot reach either parent / carer

Emergency Contact Name*

Emergency Contact Phone Number*

Collection details

Please confirm how the participant will be collected from live sessions. Please note we advise that only high school aged participants have permission to leave unattended*

The participant will leave with their own parent or carer
The participant will leave with another participants family in a carpool arrangement
The participant has permission to leave unattended by a parent or carer

Permission for photography / film

Opera North will take photographs during this activity for use in the following materials:

Publicity leaflets, booklets or printed materials
Opera North Website (no names will be published)
Opera North Twitter and Facebook Pages, news media and/or press releases or promotional films

Opera North Education provides information for schools and individuals about the work that we do in publications and sometimes, on our website and on social media. We intend to follow the guidelines below with regard to the use of photographs and quotations:

Children and young people under the age of 18 will not be identified by surname
When using photographs of children and young people, we shall use group pictures as far as possible
If any parent or carer asks us to do so, we shall remove photographs of young people or any text relating to young people as soon as possible, and without asking for reasons

Opera North may film or photograph parts of this activity. In lieu of a live audience any performances may be livestreamed and sent to families via an unlisted link.

Do you give permission for Opera North to photograph / film the participant during live activity for use in the above?*

Yes, I give permission for Opera North to photograph/film my child during the academy
No, I do not give permission for Opera North to photograph/film my child during the academy

Confirmation of Submission

By submitting this form:

I give permission for my child to take part in this project
I will ensure that my participant arrives and departs at the allocated drop off and collection time for the project to ensure participant bubbles are not mixed. I will inform project staff if there is any unavoidable delay
I understand participation is for the entire project and have provided full details of any I have provided full details of occasions when my child will be unable to attend above
I have provided full details of any medical conditions or additional needs that the Opera North Education team should be aware of
I confirm that I have made payment via Opera North Website, or over the phone to Opera North Box Office (0113 2233600)

Your signature (please type your name as confirmation)*

Data Protection

We are committed to protecting the privacy and data of you and your child. We will hold this information securely, to manage the individual’s participation in the group, provide pastoral care, for safeguarding and for anonymised monitoring purposes in regard to our commitment to equality, diversity and inclusion.

Please tick below if you would like to be kept informed of other opportunities for your child to engage with

Opera North participation activity, which may include instrumental projects, community projects, calls for main stage productions and performances
Projects run by other arts organisations which might be of interest given the nature of this group
Opera North and Howard Assembly Room news, events, services and offers

You can opt out at any time through education@operanorth.co.uk, by calling 0113 2233 623 or telling the group leader. Read our privacy policy.

The words Opera North in lower case, one on top of the other in white rounded font with a line of space down the centre of each letter

The words Opera North in lower case, one on top of the other in white rounded font with a line of space down the centre of each letter

Orchestral Academy Registration Form

Participant's details

Video upload

Emergency Medical and Contact Details

Parent / Carer 1 Details

Parent / Carer 2 Details

Emergency Contact

Collection details

Permission for photography / film

Confirmation of Submission

Data Protection

Our Supporters

The words Opera North in lower case, one on top of the other in white rounded font with a line of space down the centre of each letter

The words Opera North in lower case, one on top of the other in white rounded font with a line of space down the centre of each letter

Orchestral Academy Registration Form

Participant's details

Video upload

Emergency Medical and Contact Details

Parent / Carer 1 Details

Parent / Carer 2 Details

Emergency Contact

Collection details

Permission for photography / film

Confirmation of Submission

Data Protection

Newsletter Sign Up

Our Supporters

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