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Home
About Us
Enrol
In-Schools Program
Come to an Event
Join an Ensemble
In the Community
Shop
- T-Shirt

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Go Back » Home » New enrolment Form

New Enrolment Form

(for new students who have been allocated a teacher/day/time for one to one lessons or who have been allocated a spot in an ensemble or class).

To secure your lesson time/s for the year, please complete and submit the below enrolment form, OR contact us on 02 4324 7477. Please note that by completing and submitting this Application for Enrolment you are agreeing to the Terms and Conditions of Enrolment with the Central Coast Conservatorium Inc. A full copy of the terms and conditions can be found online here or a hard copy may be requested from the office. By clicking 'submit' you are considered as having signed this document and your enrolment will be processed accordingly.

* Required

Student Surname *

Student Given Name *

Date of Birth *

Name of School attending *

Year at School (2017) *

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Aboriginal or Torres Strait Islander Origin? *
Yes - Aboriginal or Torres Strait Islander
No

Main Language Spoken at home *
English
Other

If you answered 'other' to the question above, please specify language

Medical Conditions/Allergies/Behavioural Issues:

--------------------------------------------------------------------------------------- Please use the below fields to note parent/guardian details. If you are a mature age student (over 18 years of age) you may enter your own details below

Title

First Name *

Last Name *

Email Address *

Cell Phone Number *

Home Phone Number *

Relationship to student
Mother
Father
Guardian
Other (please specify below)
n/a - adult enrolment

If you answered 'other' to the question above, please specify relationship

Any additional information or comments you wish to add

I give the Conservatorium permission to use images from events which may include myself/my child in publicity and promotional material (including social media). *
Yes
No

What are you enrolling in? *

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Mission Statement

We seek to inspire our Central Coast community to engage in and value music as an integral part of life through comprehensive music education and artistic endeavour.

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45 Mann Street
Gosford NSW 2250
02 4324 7477
admin@cccmusic.nsw.edu.au

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