LCS Cello Club Membership Form

Personal Information
*Name of child
*Name of parent
*E-Mail:						Valid e-mail is required
*Address Line 1:
Address Line 2:
*City:						PLEASE USE UPPER/LOWER CASE
*County:						EXACTLY AS IT SHOULD APPEAR
*Post Code:
Country
Phone:
*Age of child
*Approximate Grade Standard
Membership Type
I would like the student to become a member of Cello Club, the Junior Division of the London Cello Society for:
*Membership Type
I understand that Cello Club is for students up to age 18
My Grand Total:
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