Liverpool Philharmonic Learning Department, Instrument Consent Form

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1. In Harmony Liverpool
Page 1 of 4

If you would like your child to be able to bring their Liverpool Philharmonic instrument home from school, the form below must be fully completed and signed.

If your child does not return their form, they will not be allowed to take their instrument off the school premises.

Please check all details and complete all blank sections (if the participant is under 18, this form must be completed by a parent/carer)

1. Name of Participant *

2. Participant Address *

3. Participant Date of Birth *

	DD/MM/YYYY

4. Participant's School *

All Saints Catholic Primary School
Beacon CE Primary School
Faith Primary School