Application form

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Application form

It is with great excitement that we invite students and teachers with some Auslan experience to participate in the Combined Schools Signing Choir.

Open to public school students in Year 4 to Year 12, students will learn and perform 2 songs at the prestigious Primary Proms - Brindabella Concert to be held at the Sydney Town Hall on Monday 19 September (Term 3 Week 10).

Please complete this form to submit your application. Students are not required to audition and all students who apply will be accepted into the choir. Applications are due by Friday 19 August 2022.

If you have any questions please contact:
Sue Dawson - Arts Coordination Officer - susan.i.dawson@det.nsw.edu.au 0402 992 897

Email *

Student name *

School *

Teacher's name *

School Year *

Gender *

Female

Male

Prefer not to say

T-shirt size *

Please indicate the preferred t-shirt size for your child.

My child|ward has: *

Some Auslan experience

Moderate Auslan experience

Fluent in Auslan

Is your child|ward: *

Deaf

deaf

Hard of hearing

None of the above

Please list any educational modifications or special provisions that may be required to meet the learning needs of your child. *

STUDENT MEDICAL INFORMATION

Provision of this information will significantly assist choir coordinators in planning a safer event. It will be used to assist planning, to support students, and to minimise risks for the choir and their performances. It will be stored securely. If you have any concerns about provision of this information, please contact Sue Dawson to discuss further.

Recent illness *

Has your child been treated by a medical practitioner for any injury or illness (including diarrhoea , flu-like symptoms) during the last four weeks?

Yes - please provide more details in next question

Recent illness - details

Medical conditions or special provisions

Please list any medical conditions and/or special provisions that choir coordinators need to be aware of.

Health Care/ASCIA plan *

Does your child have a current Health Care/ASCIA plan. If yes, a copy of the plan MUST be provided by email to Sue Dawson - susan.i.dawson@det.nsw.edu.au prior to their participation in this event

Yes - I have emailed a copy of my child's Health Care/ASCIA plan to Sue Dawson

Medication

Will your child be required to take medication whilst at the rehearsal/performance?
Please ensure medication is handed in upon arrival in original packaging with student name and dosage indicated by doctor.
Please provide details of medication and dosage required by your child whilst at the rehearsal|performance.

Medicare number

Parent|carer contact details

Parent|carer name *

Parent|carer email address *

Parent|caregiver mobile *

Other emergency contact

Please provide a name and number for an emergency contact should a parent|carer not be contactable

Parent | carer declaration: *

I give permission for my child|ward to participate in the Combined Schools Signing Choir 2022

My child|ward is available to participate in the workshop day on Sunday 11 September and the performance day on Monday 19 September 2022

We understand that it is our responsibility to get our child|ward to and from the rehearsal|performance.

I acknowledge that this event is required to be held in accordance with any current NSW Health COVID-19 Public Health Orders and the NSW Department of Education’s policies and procedures. I acknowledge and accept that there is a risk that my child may be exposed to COVID-19 whilst attending and participating at this event. I confirm that my child will not attend if displaying any symptoms of illness, and/or if directed to isolate under public health orders.

Required

PERMISSION TO PUBLISH

The Arts Unit are seeking your permission to obtain and publish content that may include the image and/or name of your child in our publicity of the choir
Content examples include but are not limited to photographs, text, illustrations/graphics, videos, sound recordings, examples of student work.
Our school communications include but are not limited to:
• Department of Education websites, including school public websites and TAU website
• School newsletters (online and hard copy)
• Local community newspapers
• Media promotions and advertising activities
• Electronic and print promotional material

Permission to publish *

I give permission for my child as listed above

Yes - I give permission to the Arts Unit|DoE to publish information about my child|ward as described above, including in publicly accessible communications.

No - I do not give permission to the Arts Unit|DoE to publish information about my child|ward as described above, including in publicly accessible communications.

Privacy advice

The information provided on this form is being obtained for the purpose of ascertaining relevant medical information, requirements and other health care related needs about your child who is applying to participate in this activity.

The information will be used by officers of the NSW Department of Education to assist planning, to support students, and to minimise risks when conducting these activities.

Other persons or agencies that may be provided with information include, but are not limited to, volunteers and members of external organisations who join with the Combined Schools Signing Choir or are otherwise involved in the planning or delivery of the event; and persons that may be called upon to provide health care treatment or other assistance during or as a consequence of involvement in the choir and events.

Provision of this information is not required by law. However a failure to provide the information may mean that your child can not participate in the choir.

Provision of the information will significantly assist organisers in planning a safer educational activity. This information will be stored securely. If you have any concerns about provision of this information, please contact Sue Dawson - susan.i.dawson@det.nsw.edu.au to discuss further. You may correct any personal information at any time by contacting the event coordinator.

A copy of your responses will be emailed to the address you provided.

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