Student Details

First Name *

Last Name *

Date Of Birth *

Mobile Phone

Statistical Data

Gender *

Male
Female
Other

School Level *

School Type *

Is the student of Aboriginal or Torres Strait Island descent? *

Is the student from language backgrounds other than English? *

Does the student have a disability? *

Medical

Account Holder

First Name *

Last Name *

Mobile Phone *

Home Phone

Email *

Street *

Suburb *

State *

Postcode *

Emergency Contact

First Name

Last Name

Mobile Phone

Enrolment Details

Individual Lesson

Would you like to enrol in an individual lesson? *

Instrument *

Ability *

Preferred Tutor

Lesson Length *

Day: 1st Preference

Time: 1st Preference

Day: 2nd Preference

Time: 2nd Preference

Do you need to hire an instrument? *

Additional Notes

Ensemble & Group Lessons

Would you like to enrol in an ensemble? *

Ensemble *

Ability *

Do you need to hire an instrument? *

Additional Notes

Creative Kids Voucher

We are pleased to be a registered provider for the NSW Government's Creative Kids Programme. PLEASE NOTE vouchers apply to the calendar year in which they are issued. Further details and an application form can be found here. If you would like to apply a voucher to this enrolment, please forward the email you received from Service NSW directly to admin@nrcac.edu.au.

Permission To Publish

We would appreciate your permission to obtain and publish CONTENT that may include your/your child’s image and/or name in our publicly available COMMUNICATIONS. COMMUNICATIONS include – but are not limited to – print media, television and video, radio, and publicly available websites. CONTENT includes – but is not limited to – photographs, text, illustrations and graphics, videos, sound recordings, and examples of participants work.

Please note that in some instances, withholding your permission to publish may prevent your full participation in all aspects of the Community Music program.

I agree to provide authority to publish: *

Terms & Conditions *

I have read and agree to the terms & conditions

Security Test: What is 3 x 4? *