Camerata Strings Workshop - Enrollment Form

Question Title

* 1. Participant Details

Student Name

Parent Guardian Name

Best Contact Email Address

Best Contact Phone Number

Participant Age

School

Music Teacher

Question Title

* 2. Emergency Contact Information - additional to above contact

Name

Phone number

Relationship to participant

Question Title

* 3. I, the parent/guardian of the above student, give permission for him/her to be photographed or filmed during the workshop at the Empire Theatre.

Yes

No

Question Title

* 4. What is your current AMEB level?

Question Title

* 5. Do you have a piece of music you are currently working on? Please specify