Furness Music Centre Membership Form

When you submit this membership form it will be checked by our Membership Secretary who may contact you to check on any details. Once your membership has been confirmed you will receive an email welcoming you to Furness Music Centre and providing logon details for the members area of this web site.

Existing members, please do not use this form.

Personal Information

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First Name (e.g. Katherine):
Known as (e.g. Katy):
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(Name, Home phone, mobile phone)
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We provide reduced membership fees for anyone in full-time training or education
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If you are a UK taxpayer you can enable us to reclaim tax on your membership fees

Participation Details

Please select which group(s) you wish to join initially.
You can join other groups at any time after you join:
What instrument do you wish to play, OR
what voice part would you like to sing in the choir:

Accessibility Requirements

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Dietary Requirements

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Medical Details

Please provide any medical information you think we should know about:
Please provide details of any medical qualifications you hold, or any first aid qualifications:

Other Skills and Experience

Please provide details of any relevant other skills or experience
that you would be prepared to contribute to Furness Music Centre
(e.g. ability to arrange music, administrative or financial skills, etc):

Click the Next button below to submit your application...