Apple Hill Chamber Music Weekend

01-03 NOVEMBER 2013

Gartan Outdoor Education Centre, Churchill, Letterkenny, Co.
I wish to apply for the Apple Hill Chamber Music Workshop
NAME

___________________________________________________________________

ADDRESS

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

POSTCODE

____________

Email____________________________________________

TELEPHONE

__________________________________ Date of Birth

INSTRUMENT

_______________________ GRADE

__________________

_________________

PLAYING EXPERIENCE_______________________________________________________________
_________________________________________________________________
_________________________________________________________________
SIGNATURE
(Parent

_____________________________________________________

or Guardian if under 18)

OPTIONAL DECLARATION
(Our aim and that of APPLE HILL funders is to achieve a good mix of backgrounds. We would appreciate you giving this
information.)

CULTURAL BACKGROUND Protestant Catholic Other

Fee: 185 or Student Rate: 165. This course is residential.
Refunds not available after 25th October 2013. Fee refundable if application is unsuccessful.

Deadline for completed applications is Monday 21st October 2013

Please complete application and return to ahdonegal@gmail.com via Email,whatsAp etc
Postal Applications: Donegal Music Education Partnership, Gartan Apple Hill course,
Regional Cultural Centre, Letterkenny ,Co. Donegal
or
Apple Hill Donegal, Dreenan, Ballybofey, Co. Donegal

Fees must be paid in advance of the weekend.

Bank Transfer to account:
Account Name: LYIT Apple Hill Donegal
Account No: 24733188
Sort Code: 90-49-15
Please ensure you put your name as reference/narrative.

Cheques payable to Apple Hill Donegal before October 21; late entry Cash only