Registration Form
Thank you for your interest in a Crescendo's Pathways Programme! Please complete this 10-15 minute registration form and you'll have taken your first step towards your music and wellbeing journey.

This registration form is for Te Urunga, Te Ara, and our Artist in Residence programmes.

Upcoming dates:
- Term 1 2025 Open Day Saturday 25 January 10am-2pm at Te Puna (formerly Whoa! Studios), 8 Henderson Valley Road, Henderson, Auckland.
- Term 1 starts Monday 3rd February 2025 and runs for 10 weeks.

Please complete this registration form with your details and our Youth Programmes Administrator will be in touch with you ASAP. 

If you need help to complete this form, or have any questions, please email  programmes@crescendo.org.nz

Privacy statement:  The information below is collected to ensure we provide the best support for you and future participants. We take your privacy seriously and do not share your information with any third parties. Our privacy policy can be found on our website. 

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Email *
Full Legal Name (First + Last Names) *
Preferred Name *
Phone number *
Email Address (This is the email address you would like all programmes related communications to come through) *
Current address (number, street, suburb, post code)
 *
Date of Birth *
(Our programmes are FREE for rangatahi aged 15-24)
MM
/
DD
/
YYYY
Current Age *
What gender do you identify as? *
Required
What are your preferred pronouns?
What is your ethnicity? *
Means of transport to/from Crescendo? *

Do you have a disability or medical condition we should be aware of?

*

If yes, please provide more information

Please list any allergies/dietary requirements below

 *

Please list any medication you are taking that we need to be aware of

 *

Do you require any form of specialised support for your participation in Crescendo programmes? (If you answer yes, we will make a time to meet and discuss how we can best support you)

 *
If you answered yes, please provide more information
Do you have a support worker or youth aid worker?
*
(e.g. with Oranga Tamariki, Youth Justice, MSD, disability support etc).
If yes, please provide their name and contact details below 
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