exam entry form

When: Saturday13 and Sunday 14 March 2010

Where: Beacon Hill School, Beacon Hill Road, HINDHEAD GU26 6NR

Trinity exams develop confidence, expressiveness, co-operation, negotiation skills and provide an
excellent opportunity for team building within the context of a group performance. You can
download a copy of the syllabus from our website: www.themaninthemoon.co.uk/trinity.
We strongly encourage everyone to consider taking part, however in fairness to other group
members, children taking an exam are expected to have excellent attendance during the term.
Members taking an exam will be required on either the Saturday or the Sunday. We have no control over the
timetabling of the weekend and regret that we are unable to accept requests for particular days. We will
confirm the date and time of your exam after half term. Depending on grade, exams last 10 - 25 minutes.
We have planned alternative workshops for anyone who chooses not to take an exam.

Your Details (please use one entry form per child):

Name exactly as you would like it to appear on your child’s certificate:
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Date of Birth: |__|__|__|__|__|__| Age: |__|__| Is this is your child’s first Trinity exam (): |__|

Does your child need a request for special needs provision? (): |__|
Trinity have an additional form which will allow you to explain this is in more detail. This is available to download
from http://www.trinitycollege.co.uk/resource/?id=1703 or you can ask us at workshop for a copy.

Choosing a Grade (please your chosen grade):

As a general rule, children should enter the correct grade for their age group. They must complete both devised
and scripted exams at each grade when available. If both of these have been completed, children may take the
next devised grade up. If you have any questions with regards to this, please do not hesitate to contact us.
Age Guide Devised Choices  Scripted Choices  Fee
Year 1 age 5-6 Initial Devised £17.00
Year 2 age 6-7 Grade 1 Devised £18.00
Year 3 age 7-8 Grade 2 Devised £19.00
Year 4/5 age 8-10 Grade 3 Devised Grade 3 Scripted £20.00
Year 6/7 age 10-12 Grade 4 Devised Grade 4 Scripted £21.00
Year 8/9 age 12-14 Grade 5 Devised Grade 5 Scripted £22.00
Year 10/11 age 14-16 Grade 6 Devised Grade 6 Scripted £23.00
Year 12 age 16-17 Grade 7 Devised £24.00
Year 13 age 17-18 Grade 8 Devised £25.00

Cheque made payable to MIM is enclosed for entry fee: £ ________

I agree to abide by the regulations of Trinity Guildhall

Signature: ________________________________________ Date: |__|__|__|__|__|__|

Please complete and return this whole page no later than Friday 29 January

Office Use Only:

Satellite: |__|__|__|
The Man In The Moon : : 9 Beacon Hill Road : : HINDHEAD : : GU26 6NR Group: |__|__|__|
Telephone / Fax: 01428 608866 : : www.themaninthemoon.co.uk Paid: |__|__|__|