The Kirkintilloch (Imperiam) Youth Band

THE KIRKINTILLOCH (IMPERIAM) YOUTH BAND
REGISTRATION FORM

Name:
Age:
Address:
Parents Name:
Contact Tel No:
Email Address:
Instrument Played:
Approximate Standard: (Grade or No of Years)
Transport to Rehearsal:	Parent Public
Transport to Rehearsal:	Parent Public
Any Specific Medical Condition:

Rehearsal Hall Map
YOUTH BAND CONTACTS: STEVE STEWART (TUTOR) 07919 605420 PETER FRASER (SECRETARY) 07771 867874 BANDHALL TELEPHONE 0141 776 3011	POSTAL ADDRESS: THE KIRKINTILLOCH BAND OLD MILL PARK INDUSTRIAL ESTATE KIRKINTILLOCH GLASGOW G66 1SS
Website: www.kirkintillochyouthband.org	Email Address: info@kirkintillochyouthband.com