Application First name Second name Surname Date of birth Email Phone number (eg. +420 123456789) ZIP code Country Category 1st category: year of birth 2014 and younger 2nd category: year of birth 2013 and 2012 3rd category: year of birth 2011 and 2010 4th category: year of birth 2009 and 2008 Free program Song name Author Duration (minutes) X Add composition Teacher´s name Piano accompanist´s name Music school´s address Duration (minutes) I take processing competitor´s 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 65th Kocian Violin Competition. Personal data means data given in your registration. You will find more details at our websites www.klubcentrum.cz. 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.