CYO: Apply Now View the full Cumbria County Council Privacy Policy CYO application 2019 Step 1 of 4 25% Student DetailsName* First Last Date of Birth* Date Format: DD slash MM slash YYYY Male or Female?*FemaleMaleSchool*Contact DetailsParent / Carer Name*Address Address 1 Address 2 Town County Post Code Email* Enter Email Confirm Email Student Email Enter Email Confirm Email Home Phone Number*Parent / Guardian Mobile NumberInstrument DetailsFirst Instrument*Level of achievement*eg. last music exam passed, length of time learningSecond InstrumentLevel of achievementInstrumental Teachers Dates and AvailabilityRehearsal: Sunday 17 NovemberTrinity School 10.30-4Yes I can attendNo I can't attendRehearsal: Sunday 12 JanuaryTrinity School 10.30-4Yes I can attendNo I can't attendRehearsal: Sunday 2 FebruaryTrinity SchoolYes I can attendNo I can't attendRehearsal: Sunday 1 MarchTrinity SchoolYes I can attendNo I can't attendRehearsal: Sunday 26 AprilTrinity SchoolYes I can attendNo I can't attendRehearsal: Sunday 28 JuneTrinity SchoolYes I can attendNo I can't attendRehearsal: Sunday 5 JulyTrinity SchoolYes I can attendNo I can't attendConcert: Monday 6 JulyTrinity SchoolYes I can attendNo I can't attend Medical and Emergency DetailsEmergency Contact Telephone 1*Relationship to Student*Emergency Contact Telephone 2Relationship to StudentFamily Doctor TelephoneFamily Doctor NameDoes your child have any medical condition, allergies or recent illness we should know about?YesNoPlease give brief details and describe any medication requiredIs there anything else you'd like to make CYO staff aware of?YesNoPlease give details Declarations and ConsentPhotography Consent*We plan to take photos and/or videos for Cumbria Music Hub promotional use. No players will be identified by name.I agree to the aboveI do not agree to the aboveDeclarationI have read the details of the course and consent to my son or daughter attending. I agree to his or her participation in the activities involved. I acknowledge the need for obedience and responsible behaviour on his/ her part. I consent to my son/ daughter receiving medical attention as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present. I confirm that the contact details given above are to be used in the event of an emergency or in the event of my son/ daughter being returned home for some other legitimate reason and that at least one of the named contacts will be available throughout the duration of the course. I agree to the above Contact Permission*We may occasionally want to get in touch by email to let you know about events organised by Cumbria Music Hub.Yes please, I'd like to hear about Cumbria Music Hub eventsNo thanksRegistration Fee*We require a nominal registration fee of £20.00 for the season. I will pay the registration fee of £20 at the first rehearsal Having problems? Download the application form here and email to *protected email* CYO application 2019