School registration form
Public schools in NSW are invited to nominate to participate in the Riverina Senior Music Study Day 2021 to be held on Tuesday 4 May 2021 from 8:45 am to 3:30 pm at Kooringal High School Performing Arts Venue, Zeigler Avenue Wagga Wagga New South Wales 2650

Complete and submit this school registration form by Friday 30 April 2021

Make sure that student numbers are correct as the managing school, Lockhart Central School, will complete an interschool journal for these numbers in Term 3 Week 2.

For any enquiries please contact Riverina Music Senior Study Day coordinators and music teachers
Ashleigh Baker Ashleigh.Baker13@det.nsw.edu.au 
Gus Belling  Gus.Belling1@det.nsw.edu.au 
Kooringal High School  0269225155
or
Diana Alexander - Arts Coordination Officer
diana.alexander@det.nsw.edu.au
0428 550 202

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Email *
CONTACT INFORMATION
School name: *
School address: *
School phone number: *
Contact teacher name: *
Contact teacher email: *
Contact teacher phone number: *
Principal name: *
Principal email: *
Exact number of Year 12 students  registered from your school. *
Exact number of Year 11 students registered from your school. *
PROGRAM INFORMATION
Please enter student names and details and rank in performance order. Include in your response the following details: COURSE, INSTRUMENT, PERFORMANCE TITLE, MUSICOLOGY Viva title and topic; EQUIPMENT NEEDS e.g. PA, drum-kit, amp, piano.

STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic,  Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musi cology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT NAME  - YEAR 12.   Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano
STUDENT DETAILS - YEAR 11
Please add in your response any of the following if known at this stage of the course. COURSE, INSTRUMENT, PERFORMANCE TITLE, MUSICOLOGY Viva title and topic;  EQUIPMENT NEEDS e.g. PA, drum-kit, amp, piano.
 Please note that there may not be sufficient time for Year 11 students to perform.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic,Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic,  Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic,  Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
STUDENT NAME  - YEAR 11. Enter: Name, Course, Instrument, Performance Title, Musicology Viva title and topic, Equipment needs, e.g. PA, drum-kit, amp, piano if possible.
Thank you for submitting this school registration form Please fill out another form if you require more space to register more students.
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