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Gondwana Kids Choral Academy 2015 Application

Gondwana National Choral School 2015 - Kids Choral Academy 2015 Enrolment Form
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Exit Survey
 
 
We'd love to have you join us for the Kids Choral Academy program at Gondwana National Choral School 2015!

Please follow these instructions:

1. Read the Kids Choral Academy information sheet http://www.gondwanachoirs.com.au/main.htm

2. Unfortunately, you do not have an option to save and continue the enrolment form at a later time - please complete it in one sitting. Following your submission you will receive a confirmation email.

3. The cost of the week-long program is $350 including all tuition and materials. Participants should supply their own lunch and drinks.

4. The Early bird price is $325 for enrolments received on or before Friday 31 October.

5. Please make your participation fee payment through trybooking 

 6. If your child will be attending from interstate please do not book flights/accommodation until we follow-up and confirm your place.

7. There are no auditions for KCA, however, participants should demonstrate a love of singing and music!
 
 
 
* I would prefer my child to attend the following KCA session:
 
Week 1: Songs from Other Worlds 5-9 January 2015 from 9.00am-3.30pm for ages 10-12
 
Week 2: Colour my World 12-16 January 2015 from 9.00am-3.30pm for ages 8-10
 
Both Session 1 and Session 2

 
Child's details:
* First Name : 
* Last Name : 
 
 
* Gender
 
 
Date of Birth. Please format as 1 January 2015
   
 
 
 
* Age on 1 January 2015
   
 
 
* Where does your child attend school?
   
* Year:
   
 
 
 
Is your child part of a choir?
Yes No
 
 
If yes, which choir?
   
 
 
* Is your child currently learning a musical instrument?
Yes No
 
 
If yes, which instrument and grade?
   
 
 
* Does your child have a high voice or a low voice?
High voice Low voice Not sure
 
 
* Does your child study music at school?
Yes No
 
 
* Does your child do dancing?
Yes No
 
 
Anything else you would like to let us know regarding your child's musical background?
   
 
 
 
Parent's / Guardian's details
 
 
* Parent / Guardian Name:
   
* Mobile:
   
* Home Phone (with area code):
   
Work Phone (if any) :
   
* Email:
   
* Address:
   
* City / Suburb:
   
* State:
   
* Postcode:
   
 
 
Are you interested in being a volunteer supervisor during the Gondweenies program?
 
Yes - please send me more information
 
No
 
 
 
Emergency Contacts (2 contacts required):
 
 
Contact 1
 
 
* Name:
   
* Contact Number:
   
* Relationship to Child:
   
 
 
Contact 2
 
 
* Name:
   
* Contact Number:
   
* Relationship to Child:
   
 
 
Please indicate your availability to supervise:
Week 1: 5-9 January 2015, 9 - 4pm
Week 2: 12-16 January 2015, 9 - 4-pm

NB. Supervisor must be available at least two full days of any week
Medical Information:
 
 
Please tick the box if your child has any of the following:
 
Food Allergies
 
Other allergies
 
Epilepsy
 
Asthma - if yes, please provide the medication details in the box below
 
Diabetes
 
Heart Condition
 
Mobile Issues
 
Dyslexia
 
Other condition

 
 
If you have marked any of the above boxes, please provide details in the box below:
   
 
 
* Do you give permission for your child/ward to be given paracetamol (Panadol) e.g. for headaches, sore throats etc?
(NB: Gondwana Choirs’ employees or volunteers will only supply paracetamol. For all other conditions or ailments, such as allergies, hayfever, colds etc choristers must have their own medication)
Yes No
 
 
If there is any other medical or personal information that you feel is relevant (e.g. fears, anxiety, menstrual problems, personal difficulties with other choristers) or anything else you would like us to know about your child/ward? Please provide details:
   
 
 
 
Individual Needs
 
 
Gondwana Choirs aims to provide each child with a rewarding musical experience. In order to fulfill this aim, we rely on parents/guardians to share relevant information about any learning difficulties their child/ward experiences. Such learning difficulties may include dyslexia, dyspraxia, ADHD, ADD, Asperger’s Syndrome and autism. This information and any associated management plan is a most valuable resource to assist staff and volunteers to meet the needs of all choristers. Please provide details below and attach a separate page if required:
   
 
 
 
Would you like to pre-order a KCA souvenir T-shirt ($20 each) - collected on the first day
Yes No
 
 
If yes,  what is the size? 
 
Size 8 ( half chest -40 cm)
 
Size 10 ( half chest -42 cm)
 
Size 12 ( half chest -44 cm)
 
Size 14 ( half chest -47 cm)
 
Size 16 ( half chest -50 cm)
 
 
 
How did you hear about Gondweenies?
 
My child currently attends Sydney Children's Choir
 
My child has attended National Choral School in the past
 
My child has a sibling who has attended National Choral School in the past
 
Friends/Word-of-mouth
 
School
 
Private Music Teacher
 
Facebook
 
Other
 
 
 
 
By submitting this form, I agree that all details provided are true and correct. I have read and understood the Enrolment information for Kids Choral Academy 2015
 
Enquiries: Gondwana Choirs Pier 4 Hickson Road, Millers Point, NSW 2000 Phone: (02) 8274 7003 Fax: (02) 9252 2801 [email protected] gondwanachoirs.com.au