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GWS Public Schools Concert Band 2022
The Greater Western Sydney Public Schools Concert Band is an ensemble program opportunity which aims to extend the skills of musicians in Years 4 to 12 who attend NSW public schools. More information on the program can be found at
https://artsunit.nsw.edu.au/local-arts-programs/metropolitan-north/pulse-concert-band
.
Please note, in addition to this form, the PARENT PERMISSION FORM (
bit.ly/PPFcb22
), PUBLICITY FORM (
bit.ly/PUBcb22
) and SCHOOL ENDORSEMENT FORM (
bit.ly/SEFcb22
) must be completed and submitted to the email address indicated on the forms.
APPLICATIONS EXTENDED TO FRIDAY 3 JUNE 2022.
For further information, please contact the concert band director Richard Sandham at
Richard.Sandham@det.nsw.edu.au
.
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* Indicates required question
Email
*
Your email
Student first name
*
Your answer
Student surname
*
Your answer
Student gender
*
Female
Male
Non-binary
Prefer not to say
Other:
Student date of birth
*
MM
/
DD
/
YYYY
Instrument/s played
*
Flute
Piccolo
Oboe
Cor Anglais
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Baritone Saxophone
Trumpet
French Horn
Trombone
Euphonium / Baritone
Tuba
Drums / Percussion (tuned and/or untuned)
Other:
Required
Experience
*
Please provide some information on your experience playing the above instrument/s - eg. when did you start playing, what ensembles have you played with, have you completed any exams (AMEB/Trinity/etc). Do you have any other informaiton about your playing you would like to share?
Your answer
Instrumental Tutor name
*
This should be your main instrumental teacher. If you have submitted for more than one instrument and have different tutors for each instrument, please list all appropriate instrumental tutors.
Your answer
Instrumental Tutor email address
*
The GWSPS Concert Band team may contact your instrumental tutor as part of the selection process.
Your answer
Student home street address
*
Your answer
Student home suburb
*
Your answer
Student home postcode
*
Your answer
Student home phone
(if applicable)
Your answer
Student mobile
(if applicable)
Your answer
Student contact email
*
Your answer
School
*
Your answer
Student Year 2022
*
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Other:
Student Shirt Size
*
Child 8
Child 10
Child 12
Child 14
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Adult 3XL
Name of school contact teacher
This should be a classroom teacher or executive staff member at your school who has responsibility for music and/or performing arts programs.
Your answer
Name of school principal
Your answer
Parent first name
*
Your answer
Parent surname
*
Your answer
Parent mobile
*
Your answer
Parent email
*
Your answer
Parent relationship to student
*
Mother
Father
Grandparent
Legal guardian
Other:
Additional parent first name
(optional)
Your answer
Additional parent surname
(optional)
Your answer
Additional parent mobile
(optional)
Your answer
Additional parent email
(optional)
Your answer
Additional parent relationship to student
*
(optional
Mother
Father
Grandparent
Legal guardian
Other:
Student Medicare card number
*
Please include position on card
Your answer
Private medical insurance information
(if applicable)
Your answer
My child has the following special needs or medical conditions:
*
If none, please write N/A
Your answer
My child has the following allergies:
*
If none, please write N/A
Your answer
My child has an Anaphylaxis and/or Asthma Action Plan
*
If your answer to this question is yes, a copy of the action plan MUST be directly emailed to the ensemble coordinator (
Richard.Sandham@det.nsw.edu.au
) on submission of this application.
NO
YES, Anaphylaxis only
YES, Asthma only
YES, both Anaphylaxis and Asthma
My child currently takes the following medication (please provide as much detail as possible):
*
If none, please write N/A
Your answer
Emergency contact information
Please provide information of TWO emergency contacts who are not listed in parent section of this application. Please indicate their name, contact details and relationship to the child.
Your answer
Audition video link/s
*
Please copy and paste the link/s to your audition video/s here. Audition requirements can be found at
https://artsunit.nsw.edu.au/local-arts-programs/metropolitan-north/pulse-concert-band
.
Your answer
Application Agreement
*
Please ensure all boxes are ticked prior to submitting.
I understand that, in addition to submitting this online form, I need to complete and submit the PARENT PERMISSION FORM, PUBLICITY FORM and SCHOOL ENDORSEMENT FORM.
I understand that a fee of $88 (GST inc.) is payable to be a member of the 2022 GWS Public Schools Concert Band
I understand that, to be a member of the Greater Western Sydney Public Schools ensembles, the student must attend all scheduled rehearsals and performances, and must abide by the NSW Department of Education's Behaviour Code.
Required
A copy of your responses will be emailed to the address you provided.
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