Registration Form
Thank you for your interest in a Crescendo's Pathway Programme! Please complete this 10-15 minute registration form and you'll have taken your first step towards your music and wellbeing journey.

Upcoming dates:
- Term 2 Open Day Wednesday 24th April 2024 (10am-2pm)
- Term 2 starts Monday 29th April 2024

Please complete this registration form with your details and our Youth Pathways Coordinator will be in touch with you ASAP. 

If you need help to complete this form, or have any questions, please email  programmes@crescendo.org.nz

Privacy statement:  The information below is collected to ensure we provide the best support for you and future participants. We take your privacy seriously and do not share your information with any third parties. Our privacy policy can be found on our website. 

Sign in to Google to save your progress. Learn more
Email *
First Name(s) *
Last Name *
Preferred Name *
Phone number *
Current address (number, street, suburb, post code)
 *
Date of Birth *
(Our programmes are FREE to rangatahi aged 15-24)
MM
/
DD
/
YYYY
What gender do you identify as? *
Required
What is your ethnicity? *
Means of transport to/from Crescendo? *

Do you have a disability or medical condition we should be aware of?

*

If yes, please provide more information

Please list any allergies/dietary requirements below

 *

Please list any medication you are taking that we need to be aware of

 *

Do you require any form of specialised support for your participation in Crescendo programmes? (If you answer yes, we will make a time to meet and discuss how we can best support you)

 *
Do you have a support worker or youth aid worker?
*
(e.g. with Oranga Tamariki, Youth Justice, MSD, disability support etc).
If yes, please provide their name and contact details below 
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Crescendo Trust of Aotearoa. Report Abuse
Google Forms