NYO 2019 Audition Application

Newcastle Youth Orchestra 2019 Audition Application
NYO Fee Schedule

As a registered provider for the Creative Kids program, you can redeem your voucher with us and create something great.

If you don’t have a voucher, please visit
service.nsw.gov.au.

Fees

$200 per term OR

$700 for the full year

Family Discounts

10% off fees will be applied to the second and third child in a family (in order of age), 50% off the fourth and any subsequent children.
Student Name*

First NameLast Name
Birth Date*

DayMonthYear
Gender
Instrument*
AMEB Level or Equivalent (please note syllabus if not AMEB)*
Ensemble playing experience (brief)
Instrumental Teacher*
Teacher's Email Address or Phone Number*
School or University year in 2019
School or University to be attended in 2019
Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Phone Number*
Mobile Number
Email Address *
Is the student of Aboriginal or Torres Strait Islander origin?

AboriginalTorres Strait IslanderNoPrefer not to answer
I would like to audition for Newcastle Youth Orchestra 2019*

We will contact you in early 2019 to organise an audition date.
Payment Preference *

$200 per term OR

$700 for full year (early payment discount only applied if paying before 11th February)
Full year $700Per Term $200
Emergency Contact Details

In the event of an emergency, I would like for Newcastle Youth Orchestra to contact the following person.
First Name*
Surname*
Relationship to applicant*
Address*

Street Address

Street Address Line 2

CityState

Post CodeCountry
Phone Number*

Area CodePhone Number
Mobile Number

Area CodePhone Number
E-mail
Medicare Number*
Known Allergies or medical conditions of the student
In the event of injury or illness, if the emergency contact is unavailable, I authorise a staff member of Newcastle Youth Orchestra to organise appropriate medical attention on my behalf. I acknowledge that all medical costs incurred are my responsibility.*

YesNo
Declaration*

I understand the application procedure and the commitment I am making in applying to become a member of the Newcastle Youth OrchestraI declare that the information supplied in this form is both true and correct
Form completed/signed by (must be signed by a parent or guardian if the applicant is under 18 years of age)*
If you have any questions with regards to the application process or auditions, please email sally@nyo.com.au
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Newcastle Youth Orchestra 2019 Audition Application

Emergency Contact Details