KYBB Membership Form - UNDER 18s
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Email *
Today's date: *
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PERSONAL DETAILS
Please fill out the following with regard to the participating child and please give their details, not your own.
Member Name *
Guardian Email Address For Band Communication
If you would like band communications to be sent to a different email address than you have used to complete this membership form, please provide it below. If you are happy to use the email address you have provided above, you can skip this question.
Member's Preferred Name/Pronouns
Date of Birth *
Address *
Postcode *
Name of School Attended *
UNDER 16s ONLY - Do you give permission for your child to walk home from band on their own?
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Any Medical Conditions? *
Please provide details of any allergies or other pertinent medical issues we should be aware of to keep you safe at band. These forms are confidential and you do not have to share any conditions which do not put you at potential risk during rehearsals/concerts.
EMERGENCY CONTACT DETAILS
Please fill out this section with the details of who we should contact in case of an emergency. This should be a primary guardian.
Emergency Contact Name *
Emergency Contact Phone Number *
Relationship to Member *
E.G. parent, sibling, spouse, friend
Alternative Emergency Contact Details
If you are able to provide an alternative emergency contact, please do so below. The listed
guardian above will always be contacted first if not already present at the activity.
Are you a UK taxpayer and if so, would you like to GiftAid any member donations you make the to band? *
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