Apply now for West Lakes Windband West Lakes Music Centre Application Step 1 of 3 33% West Lakes Music CentrePlease let us know which Music Centre Group(s) you would like to join Windband Student DetailsName* First Last Date of Birth* DD slash MM slash YYYY Male or Female?* Female Male School* Contact DetailsParent / Guardian 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 Number Instrument DetailsFirst Instrument* Level of achievement* eg. last music exam passed, length of time learningSecond Instrument Level of achievement Instrumental Teachers Medical and Emergency DetailsEmergency Contact Telephone 1* Relationship to student* Emergency Contact Telephone 2 Relationship to student Family Doctor Name Family Doctor Telephone Does your child have any medical condition, allergies or recent illness we should know about? Yes No Please give brief details and describe any medication required Is there anything else you would like to make music centre staff aware of? Yes No Please give details Declarations and ConsentPhotography Consent* I understand and agree to the above I do not agree We plan to take photos and/or videos for Cumbria Music Hub promotional use. No players will be identified by name. Data Protection*Cumbria Music Hub is required by the Data Protection Act to obtain your informed consent to hold your up-to-date details on our database. Cumbria Music Hub processes the personal data provided by you on this registration form. This may include the organisation of ensembles, concerts, tours, tuition and the hire of musical instruments by Cumbria Music Hub. Cumbria Music Hub retains this personal data after the student has cancelled the contracted services with Cumbria Music Hub. I understand and agree to the above I do not agree Δ
