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Lydian Training Orchestra // 21st-23rd September
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Student's Details
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Date of Birth *
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Instrument *
Standard *
School attended
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Instrumental teacher
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Medical Information
G.P. Name *
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G.P. Address *
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G.P. Phone Number *
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Medical Needs/Allergies
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Medicine Required
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Parent's Details
(You will be the primary contact in the case of an emergency)
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Surname *
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Home Address *
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Mobile Phone Number *
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Home Phone Number *
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Alternative Emergency Contact
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Contact Number *
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The above information is, to the best of my knowledge, accurate at the time of writing and I give consent to LTO staff to carry out any necessary treatment in the case of an emergency. *
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