Application Form

Please fill in a separate form for each applicant.

N.B. For Beauville Arts Wind Chamber Course at Cubertou please apply via the Beauville Arts Website

Cubertou Holiday Courses 2013

* (denotes required field)

Holiday Course:

Instrument/Voice (for Music Courses):

Aims from the course, grades, relevant experience, any other information ...

Name:

Address:

Phone Numbers:

Email:*

Age Bracket:

Dietary requirements:

Preferred Accommodation:

If sharing please tell us if there is someone in particular you intend to share with

How did you hear about the Cubertou Holiday Course?:

Please give us information about any medical conditions or mobility issues you may have that it would be helpful for us to know about.

I have read and agree to the Terms & Conditions*

We shall get back to you shortly to confirm acceptance of your application and send you payment information.