Boyz Crew - Western NSW - Application form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Boyz Crew is a new initiative aimed at providing boys in Years 5 to 8 with an interest in Hip Hop the opportunity to work with an experienced choreographer to create a performance piece for the Western NSW Dance Festival.

Boyz Crew is open to boys of all level of experience from beginners to experienced dancers.

For full details go to the Boyz Crew - Far South Coast info site.

All students will be required to have the endorsement of their school principal for their participation in the Boyz Crew.

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 *

School principal name *

Teacher's name: *

Primary students please advise classroom teacher name, high school students please advise Year Advisors name

School Year *

Year 5

Year 6

Year 7

Year 8

Student age *

Please indicate if any of the following apply: *

Aboriginal or Torres Strait Islander

English as an additional language or dialect

Student with a disability

None of the above

Required

T-shirt size *

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

Kids 12

Kids 14

Adults XS

Adults S

Adults M

Adults Large

Adults XL

Other:

Please list any educational modifications or special provisions that may be required to meet the learning needs of your child to support their participation in the Boyz Crew. *

Please list any previous dance experience and why your son/ward wishes to participate in the Boyz Crew.

Dance experience is not imperative to participation in the crew. Only an enthusiastic and committed attitude to giving it a go!

Is your son/ward also participating in the Western NSW Dance Festival with their school? *

Yes

Unsure

STUDENT MEDICAL INFORMATION

Provision of this information will significantly assist Boyz Crew coordinators to assist planning, to support students, and to minimise risks for the Ensemble. It will be stored securely. If you have any concerns about provision of this information, please contact Sue Dawson to discuss further.

Medical conditions or special provisions

Please list any medical conditions and/or special provisions that Boyz Crew 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 at susan.i.dawson@det.nsw.edu.au prior to participation in the Crew

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

Clear selection

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 to participate in the Boyz Crew 2024.

I understand that acceptance into the Crew requires the endorsement of their school principal.

I understand that once accepted, the participation fee of $50 must be paid to my child's school by the end of Term 1.

I acknowledge that this event/activity is required to be held in accordance with any current NSW Health and 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.

Required

PERMISSION TO PUBLISH

The Boyz Crew are seeking your permission to obtain and publish content that may include the image and/or name of your child in our publicly about the crew.
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.
• School newsletters (online and hard copy)
• Local community newspapers
• Western NSW Dance Festival video of item
• Media promotions and advertising activities
• Electronic and print promotional material

Permission to publish

I give permission for my child as listed above

Yes

No - Please note: Students with no permission will still be filmed in the item during the festival. Sue Dawson will be in contact to discuss.

Clear selection

Parent|carer name

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 Crew 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 such camp activities.

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 camp.

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.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of NSW Dept of Education. Report Abuse

Forms