test enrollments

Student Name

Male Female 

Is the student of Aboriginal or Torres Straight Islander background?

Is the student from a non English speaking background?

Mother / Guardians Full Name

Father / Guardians Full Name

CONTACT DETAILS
Home Address

Postcode

Contact Email:

Mothers Mobile

Fathers Mobile

Students Mobile

Serious allergies or medical conditions staff should be aware of

Diagnosed disability or learning difficulty which teacher needs to be aware of

Lesson Preference

Instrument:


Media Consent
The South West Music Regional Conservatorium would like to be able to use photographs or video images of students for promotion and publicity. The use of the students images may include electronic and print promotional material, the South West Music Conservatorium website, newspapers and television.
If you give media consent as outlined above please click below.
I Agree

If you wish to review your consent you must contact the Conservatorium.


DECLARATION BY PARENT OR STUDENT OVER 18

I have read, understood and hereby agree to abide by the 2013 Enrollment Information, Terms and Conditions Brochure. I understand that this enrolment will only commence when the enrolment form is signed and submitted by the Administration Officer and the term's fees have been paid in advance. I also understand that I must give 3 weeks notice in order to cease lessons.

I agree to the above declaration.