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?

AboriginalTorres Strait IslanderNoPrefer not to answer
Payment Preference *

$180 per term OR

$650 for full year (early payment discount only applied if paying before 15th February)
Creative Kids Vouncher
Full year $650Per Term $180Full year - apply Creative Kids Voucher $550Per Term - apply Creative Kids voucher for one term - $80
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.*

YesNo
Declaration*

I understand the application procedure and the commitment I am making in applying to become a member of NYO KidsI 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
Should be Empty:

NYO - KIDS Application 2019

Emergency Contact Details