Application First name Second name Surname Date of birth Email Phone number (eg. +420 123456789) ZIP code Country Category 1st category: year of birth 2009 and younger 2nd category: year of birth 2008 and 2007 3rd category: year of birth 2006 and 2005 4th category: year of birth 2004 and 2003 Free composition Song name Author Duration (minutes) X Add composition Teachers name Piano accompanist´s name Music school´s address Duration (minutes) I give consent to taking and storing photos, video and audio recording a competitor´s performance and possibility of their publicizing in the Competition press, promotion brochures and at websites of Kocian Violin Competition and Usti nad Orlici. I also consent to the live transmission of a competitor´s performance and make it public on YouTube via the local channel of the town Usti nad Orlici. I take processing competitors´ personal data into consideration by Klubcentrum in Usti nad Orlici, Identification No.00485195, headquartered Lochmanova 1400, Usti nad Orlici for the purpose of holding, organising and awarding 61st Kocian Violin Competition. Personal data means data given in your registration. You will find more details at our websites www.klubcentrum.cz.