JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
John Feierabend Workshop Recording
EVENT REGISTRATION FORM
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Available until Monday 21 December 2020
First Name
*
Your answer
Surname
*
Your answer
WORK DETAILS
Please complete if you are at a local school
School Name
Your answer
Address
Your answer
Suburb
Your answer
State/Territory
Your answer
Post Code
Your answer
OCCUPATION - please indicate whether you are a classroom teacher/specialist/studio teacher etc
*
Specialist Music Teacher - Primary
Specialist Music Teacher - Secondary
General Classroom Teacher - Primary
Instrumental Studio Teacher
Vocal Studio Teacher
Early Childhood Teacher
Other:
Required
What is your current teaching context or area of interest? (select all that apply)
Preschool
K-2
3-6
Secondary
Adult
Contact Details
Email address - please fill in the one you use the most so we can update you regarding your registration
*
Your answer
Telephone (work)
Your answer
Telephone (mobile preferred)
*
Your answer
NESA No. (NSW teachers only)
Your answer
In which state do you live?
*
NSW
ACT
Vic
Qld
WA
SA
Tas
NT
Overseas
Registration Options
SELECT YOUR REGISTRATION TYPE
*
To become a member go to
www.kodaly.org.au/membership
KMEIA MEMBER - $20
NON-MEMBER - $90 (includes 1 year membership)
KMEIA STUDENT MEMBER: $10 (go to
https://tinyurl.com/kmeiamembership
to apply for free student membership)
PAYMENT OPTIONS:
Please pay by credit card via Trybooking (details will be provided at the end of the registration process)
How did you find out about this workshop?
*
This information will assist us in providing more opportunities for Music teachers throughout NSW
KMEIA website
Facebook
Instagram
Twitter
Local Music Store
Word of Mouth
Other:
Thank you!
Please check the information you are about to submit is correct then click SUBMIT. KMEIA NSW will contact you shortly regarding your registration.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report