Enrol for Lessons at the Central Coast Conservatorium

Online Enrolment Form

Enrol For Lessons

"*" indicates required fields

Are you enrolling a new or current student? * (* indicates a required field)*

New

Current

Student's First Name **

Student's Last Name **

Student's Date of Birth (dd/mm/yyyy) **

Student's Gender **

As part of our requirements with the NSW Department of Education & Communities (DEC), we are required to provide the following information about our students.

School Attending **

N/A

Government Primary

Non Government Primary

Government Secondary

Non Government Secondary

Home Schooled Primary

Home Schooled Secondary

Teritary

Name of School **

Main Language Spoken At Home **

English

Other

Does the student identify as Aboriginal or Torres Strait Islander? **

Yes

Prefer Not To Answer

Does the student have a diagnosed disability? **

Yes

Prefer not to answer

Please specify any student needs or requirements or allergies that the teacher should be aware of:

Would you like to enrol in one-to-one lessons? **

Yes

Chosen Instrument **

Lesson Duration **

60 Minutes

45 Minutes

30 Minutes

Other

Lesson Frequency **

Weekly

Fortnighly

Casual

Unsure

Additional Comments/Instruments

Are you enrolling in any classes or ensembles? **

Yes

Select from the list below the ensembles/classes you are enrolling for: **

Children’s Music Program (CMP)

Keyboard Club

Guitar Club

Ensembles

Saturday Strings

Musicianship

None

Select from the list below your prefered class day/time.**

GUITAR CLUB (10-12 YEARS) THURSDAY 5PM-5.45PM

GUITAR (13-15 YEARS) THURSDAY 6PM-6.45PM

Select from the list below your prefered class day/time.**

MUSICIANSHIP 1 @ GOSFORD PRESBYTERIAN CHURCH | TUESDAY 3.45PM – 4.30PM with Melissa Lark

MUSICIANSHIP 2 @ GOSFORD PRESBYTERIAN CHURCH | TUESDAY 5.45PM – 6.45PM with Melissa Lark

MUSICIANSHIP 3 @ GOSFORD PRESBYTERIAN CHURCH | TUESDAY 4.45PM – 5.30PM with Melissa Lark

MUSICIANSHIP 4 @ ROBERT KNOX HALL | THURSDAY 4.30PM – 5.30PM with Phillip Rutherford

MUSICIANSHIP 5 @ ROBERT KNOX HALL | FRIDAY 4.30PM – 5.30PM with Phillip Rutherford

MUSICIANSHIP 6 @ ROBERT KNOX HALL | MONDAY 4PM – 5PM with Phillip Rutherford

YEAR 12 HSC SUPPORT @ ROBERT KNOX HALL | THURSDAY 5.30PM – 6.30PM with Phillip Rutherford

YEAR 11 HSC SUPPORT @ ROBERT KNOX HALL – day and time TBC (depending on numbers)

Select from the list below your prefered class day/time.**

CHAMBER ORCHESTRA

MINI STRINGS

JUNIOR TECHNIQUE CLASS

SENIOR TECHNIQUE CLASS

BEGINNER DOUBLE BASS

SENIOR STRINGS

JUNIOR STRINGS ORCHESTRA

CHAMBER GROUP 1

CHAMBER GROUP 2

Select from the list below your prefered class day/time.**

PRIMARY WIND ENSEMBLE

SYMPHONIC WIND ORCHESTRA

CENTRAL COAST YOUTH ORCHESTRA

EXTENSION CONDUCTING

Please note: Entry into our Ensembles program is by audition, so only enrol once you have been asked by your teacher to do so.

Main Contact – Full Name **

The main contact is the person who will receive tuition fee invoices, as well as other communication from Conservatorium admin and teaching staff.

Email **

Phone Number **

Additional Contact Number (e.g. Work)

Postal Street Address **

Suburb **

Postcode **

State **

NSW

Other

Relationship to Student **

Mother

Father

Guardian

Self / Other

Do you wish to provide an additional contact (in case we are not able to contact the main person?)*

Yes

First Name

Phone Number *

Relationship to Student *

Mother

Father

Guardian

Self / Other

Please select preferred payment option for the student's tuition fees **

Pay by the term (an invoice will be sent to you at the beginning of each term)

Direct debit payment plan

Photography/Video Permission*

The Central Coast Conservatorium of Music and/or the NSW Department of Education may use photographic or video images of my child or myself for promotional or education purposes. Do you provide permission for you and/or your child to be photographed or videoed for these purposes?

Yes

I would like to receive emails and newsletters from the Conservatorium, with information on news, events and student opportunities? **

Yes

Do you want to update any of the following information? **

Schooling

Enrolment Information

No details have changed

Update Enrolment Information

School Attending*

Government Primary

Non Government Secondary

Non Government Primary

Home Schooled Secondary

Home Schooled Primary

Teritary

Government Secondary

Not in School

Name of School*

Chosen Instrument*

Lesson Duration

60 Minutes

45 Minutes

30 Minutes

Other

Lesson Frequency

Weekly

Fortnighly

Casual

Additional Comments / Instruments

Select from the list below the ensembles/classes you are enrolling for:*

Please note: Entry into our Ensembles program (PWEs, SWO and CCYO) is by audition, so only enrol once you have been asked by your teacher to do so.

If Other, Please Specify

Terms & Conditions*

Yes

I have read and understand the Terms & Conditions of enrolment

Comments

This field is for validation purposes and should be left unchanged.

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