NYO 2019 Audition Application

Address *

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

Aboriginal Torres Strait Islander No Prefer 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 $700 Per 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 *

Phone Number *

Area Code Phone Number
Mobile Number

Area Code Phone 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. *

Yes No
Declaration *

I understand the application procedure and the commitment I am making in applying to become a member of the Newcastle Youth Orchestra I 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