NYO - Kids 2019 Application

NYO - KIDS Application 2019
NYO- Kids 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

$180 per term OR

$650 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 year in 2019
School 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?
Payment Preference *

$180 per term OR

$650 for full year (early payment discount only applied if paying before 15th February)
Creative Kids Vouncher
Polo Shirt Size- it is best to choose a larger size if you are unsure.
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.
Declaration
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
Should be Empty:

NYO - KIDS Application 2019

Emergency Contact Details