Arts Alive Combined Schools Bands Programs 2021 Student Information
Enrolment Information for students
* Required
Email
*
Your email
Student first name
*
Your answer
Student surname (last name)
*
Your answer
Date of birth (please note it is month, day, year)
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Prefer not to say
Other:
School year in 2021
*
Choose
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
School attending in 2021
*
Your answer
School principal name
*
Your answer
Which band is your child in?
*
Choose
Primary
Junior Secondary
Senior Secondary
Instrument(s) played (If more than 1 put the main instrument first)
*
Your answer
Is your child interested in joining the Junior Stage Band? This rehearses on a Monday evening.
Yes
No
Clear selection
Parent contact name 1
*
Your answer
Parent contact 1 mobile
*
Your answer
Parent contact 1 email
*
Your answer
Parent contact 2 name (optional)
Your answer
Parent contact 2 mobile (optional)
Your answer
Parent contact 2 email (optional)
Your answer
Home phone number (optional)
Your answer
Student email (optional)
Your answer
Home address (street number and name)
*
Your answer
Suburb
*
Your answer
Postcode
*
Your answer
Emergency contact name if parents are uncontactable (please do not put a parent name which has already been listed in previous questions)
*
Your answer
Emergency contact number
*
Your answer
Medical Conditions - please note that if asthma or anaphylaxis is identified you must provide a current copy of the plan for your child if they are participating in the program in 2020. (Please put N/A if not applicable).
*
Your answer
Treatment and medication required (Please put N/A if not applicable).
*
Your answer
Asthma and/or Anaphylaxis plan to be submitted (regardless if the asthma is only mild). This can be a photocopy but must include a photo of the student.
*
Choose
Yes
No
N/A
I agree by checking this box that I have read the NSW Department of Education's Behaviour Code for Students (see link below) and agree that my child will adhere to the code.
https://education.nsw.gov.au/student-wellbeing/attendance-behaviour-and-engagement/student-behaviour/behaviour-code
*
I agree
Required
I agree by checking this box that I am aware that my child must be a part of their school band program in order to participate in the AACSB. If there is no band at your child's school please select N/A.
*
I Agree
N/A
Required
I agree to return the relevant paperwork and payment required to be part of the Arts Alive Combined Schools Program by the due date."School Approval Form" and "Invoice" in order for my child to participate in the AACSB Program. I am aware that this information will be emailed to me if my child is participating in the program in 2021.
*
I agree
Required
Submit
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