Symphonia Jubilate Enrolment Form
This is an enrolment form to join Symphonia Jubilate for 2019.

Membership information and fee structure can be found here: https://goo.gl/eBaKQa

Further information including a rehearsal schedule can be found on the orchestra's website: www.symphoniajubilate.com
Student First Name: *
Your answer
Student Surname: *
Your answer
Date Of Birth: *
MM
/
DD
/
YYYY
School in 2019 (students must attend a public school to participate in Symphonia Jubilate): *
Your answer
2019 School Year: *
Your answer
Instrument (students must be learning an orchestral instrument in order to join the orchestra): *
Level/Grade (AMEB or equivalent): *
Your answer
Current Instrumental Teacher: *
Your answer
Which orchestra would you like to apply for? (please note; final placement is at the conductors' discretion) *
Parent/Carer Name: *
Your answer
Parent/Carer Phone Number: *
Your answer
Parent/Carer Email: *
Your answer
Additional Parent/Carer Name (optional):
Your answer
Additional Parent/Carer Phone Number (optional):
Your answer
Additional Parent/Carer Email (optional):
Your answer
Home Address: *
Your answer
Student Mobile:
Your answer
Student Email: *
Your answer
Is your child of an Aboriginal or Torres Strait Islander origin? *
Does your child speak a language other than English at home? *
Which language(s) other than English does your child speak at home?
Your answer
Does your child have any known allergies or medical conditions? *
Please provide details of all allergies and/or medical conditions. If your child is anaphylactic, please provide the orchestra manager with a coloured copy of their ASCIA Action Plan at your child's first rehearsal.
Your answer
Please outline any other special needs your child may have, including medical, behavioural or parental custody arrangements:
Your answer
All members require a performance shirt to wear for concerts. Shirts cost $40 each. If you would like to order a shirt, please select the size you would like to order on the dropdown menu below. Shirts will be handed out at a Term 2 rehearsal. *
Please click here for payment instructions: https://goo.gl/64UE2C When you have paid, please record your receipt number here: *
Your answer
To download the orchestra photo permission form, please click here: https://drive.google.com/open?id=1SllstPe85wCF3rBx99_WzwN18kZtq-sB *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of NSW Dept of Education. Report Abuse - Terms of Service