CY & Friends Application Form
Please submit your application using this form.  If you need to reach us immediately please call or text 510-672-2486
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Name *
Email *
Parent/guardian email address (if applicant is under 18)
Phone number (cell preferred) *
Date of Birth *
Referral (how did you learn about this festival) *
Demo (skip if you worked with Eugene Chukhlov before)
Please submit a link to YouTube video, or text it to Eugene at (510) 672-2486.
Instrument Played *
Interested in: *
Do you need financial assistance?
Limited financial assistance may be available
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