SYDNEY MARIMBA WEEKEND

2017 SYDNEY MARIMBA WEEKEND PARTICIPANT REGISTRATION

(* indicates a non-compulsory field)

I wish to register for:

Active Participation ($160)
Passive Participation ($100)
Day Pass: Saturday ($90)
Day Pass: Sunday ($90)
Teacher Offer

PARTICIPANT INFORMATION

First Name

Last Name

Date of Birth

School

School Year in 2017

Address

Street Number, Street Name Suburb, State, Postcode

Email

Home Phone

Mobile*

Current Percussion Teacher

Previous Percussion Teacher(s)*

Years Playing Percussion (inc. drumkit, untuned percussion)

Years Playing Marimba

Current Ensembles (eg school ensembles, SYO, Arts Unit)*

Repertoire for Masterclasses/Concert Practice (if already known). Please note that all pieces are to be performed unaccompanied

Active Participants Only

Do you have a marimba at home?

Yes (5-octave/low C)
Yes (4.3-octave/low A)
Yes (other)
No

Does your school have a marimba?*

Yes (5-octave/low C)
Yes (4.3-octave/low A)
Yes (other)
No

Any allergies or dietary requirements?*

PARENT INFORMATION

First Name

Last Name

Email

Mobile

PARENT PERMISSIONS

Photos and video will be taken during the Sydney Marimba Weekend. Do you consent to the use of any material including your child for marketing purposes (through our website or facebook page)?

Yes
No

I give permission for my child to participate in the 2017 Sydney Marimba Weekend

Yes

I understand that the primary form of communication with SMW is email (sent to parents and participants)

Yes

I understand that submitting this form incurs a compulsory fee: $160 for active participation, $100 for passive participation

Yes