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Registration Form
2020 Registration Form for ReZonate Program- LDAT
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* Indicates required question
Email
*
Your email
Full Name (Legal Name)
*
Your answer
Phone number (Your mobile number if you have one/ or parent/guardian)
*
Your answer
Suburb & Postcode
*
Your answer
Address
Your answer
D/O/B
*
Your answer
Age
*
Your answer
If Under the AGE of 18 - Do you have parent/guardian permission to register in this program
*
YES I have parent/guardian permission
No I do not require parent/guardian permission as I am over the age of 18
Parent/Guardian Contact Details or Emergency Contact if 18+ (Full name and contact number)
*
Your answer
Do You have any Know Allergies? If Yes details please!
*
Your answer
I give consent for photos/videos to be taken and used for promotional purposes including online promotion. ie) Facebook, Instagram
*
I agree
No I do not agree
Ethnic Background if known
Your answer
Do you have any personal Equipment that you can utilise for your personal use in the program. ie: laptop
Your answer
What are your main interest in Audio/Music
*
Music/Beat Production
Creative Song/Lyric Writing
Studio Recording
Studio Production/Mastering
Song Writing
Singing / Rapping
Other:
Required
Do you play an instrument or currently produce music?
*
Yes
No
Not currently but interested in starting
Other:
If Yes to instrument - which instrument?
Your answer
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