2019 ACO Collective String Workshop Online Application Form Question Title * 1. Please indicate which workshop you are applying for: Bendigo Wangaratta Lismore Armidale Bellingen 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 Torress Strait Islander descent? Question Title * 3. Student Details School Year Instrument Grade (AMEB or A LIKE) Question Title * 4. Things we need to be aware of: Medical Conditions Dietary Requiremets Allergies Question Title * 5. 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 * 6. How did you find out about this workshop? Word of Mouth ACO Website ACO Email Social Media Advertisement Previously Participated Music Teacher Other (please specify) Done