Music Centre Application Apply now for Music Centre Application (1) Step 1 of 3 33% Music CentresPlease let us know which Music Centre Group(s) you would like to join String Group Woodwind Group Brass Group Percussion Group Carlisle Youth Concert Band Student DetailsName* First Last Date of Birth* Male or Female?*FemaleMaleSchool*Contact DetailsParent / Guardian NameAddress* 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 Medical and Emergency DetailsEmergency Contact Telephone 1*Relationship to student*Emergency Contact Telephone 2Relationship to studentFamily Doctor NameFamily Doctor TelephoneDoes 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 would like to make music centre staff aware of?YesNoPlease give detailsDeclarations and ConsentPhotography Consent We plan to take photos and/or videos for Cumbria Music Hub promotional use. No players will be identified by name. If you DO NOT want images of your child used in this way please tick here 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 Annual Fee* Concert Band: 1st child - £45 Concert Band: 2nd child - £35 Concert Band: 3rd child - £25 Free Ensemble Groups I agree to pay the fee at the first rehearsal.