2017 ACO String Workshop Online Application Form Question Title * 1. Please indicate which workshop you are applying for: Sydney Brisbane Melbourne Adelaide Canberra Perth Mandurah Bunbury Albany Toowoomba Rockhampton Cairns Healesville Bendigo Lismore Bellingen Armidale Hamilton Question Title * 2. Student Details Student Name School Address City/ Town State Post Code Best Contact Email Address Best Contact Number Are you of Aboriginal or Torres Strait Islander descent? Question Title * 3. Student Details School Year Instrument Grade (AMEB or A LIKE) Question Title * 4. Please provide a brief statement of your performance/ ensemble experience: Question Title * 5. Music Teacher Details Name Company/ School Address Address 2 City/Town State Post Code Country Email Address Phone Number Question Title * 6. Who should we send all string workshop information to? Name Relation Email Address Contact Number Question Title * 7. Things we need to be aware of: Medical Conditions Dietary Requiremets Allergies Question Title * 8. I, the parent/ guardian of the above-named student give permission for him/her to be photographed, filmed or interviewed during the ACO Education event by both ACO and news media. Please note: Parent/ guardian will be required to sign a media permission form upon acceptance Yes No Question Title * 9. How did you find out about this workshop? Word of Mouth Youth Orchestra Sydney Eisteddfod ACO Website ACO Email Social Media Advertisement Previously Participated Music Teacher Other (please specify) Question Title * 10. Education eNewsletter (leave blank if you wish to be apart of the mailing list) Do NOT subscribe me to education enews I'm already subscribed Done