Example form

CoMA Ensemble Membership is a requirement for all those playing or singing with a UK CoMA ensemble.

Please complete the form below. If you have any questions then please email membership@coma.org

First name

Last name

Address

Town

Postcode

Phone

All your personal information will be managed in accordance with our Data Protection and Retention Policy.

Emergency Contact Name

Phone

Ensemble

CoMA Ensemble membership is for those who play or sing with a full UK CoMA ensemble. Others should join as a Friend of CoMA. You can complete the form here.

Instrument

level

Beginner: grade 1-3, Intermediate: grade 4-6, Advanced grade 7-8.

How did you hear about CoMA and why have you joined a CoMA ensemble?

Membership category

Please pay the standard membership (or more) if you can afford it.
We do not want to exclude anyone from CoMA because of cost. If the concession rate is difficult for you financially, please note this below and we will contact you.

Additional monthly donation (£)

Payment method

I will set up a standing order for the first of each month (preferred)

I will pay annually (12 times the monthly amount) by bank transfer

Please contact me for other options

If you cease to be a member of an ensemble, your membership will be transferred to the CoMA Friends Scheme.

For a UK taxpayer, using Gift Aid means that for every pound you give, we get an extra 25p from the Inland Revenue, helping your donation go further and at no extra cost to you. To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we collect from you in the tax year.

Gift Aid

I would like you to treat all donations I make to CoMA in the future and for the last four years as eligible for Gift Aid until I notify you otherwise

I do not qualify for Gift Aid

Demographics

This information will be used for reporting to our funders and to support our EDI (Equality, Diversity & Inclusion) policy.

Date of birth

Ethnicity

Gender

Are your day to day activities limited because of a health condition or disability?

Do you identify as neurodivergent?

No Yes

Please describe any access needs for participation in CoMA activities

Other information