County Groups application form

Applicant's name*

FirstLast

Applicant's email*

Gender*

Male
Female

Applicant's contact number*

Applicant's date of birth*

Parent's / Carer's title

Parent's / Carer's name

Parent's / Carer's email

Parent's / Carer's mobile number

Daytime contact number*

Evening contact number*

Address*

Street AddressCityCountyPostcode

Name of School / College*

School address

School Year*

How would you describe your ethnicity?

Recording permissions*

Yes - I do give permission
No - I do not give permission

Kent Music occasionally takes still photographs and/or video recordings of students in rehearsals or concerts for archive purposes, teacher training and inclusion in our brochures and publicity material. Do you give permission for photos/videos of you / your child to be used by Kent Music for these purposes.

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Kent Music

County Groups application form

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