Winter Music Program 2021

Information Page
Authority and Payment Information

I give permission for my child / children to attend the 2021 Young Music Society Winter Music Program and to participate in all activities of the WMP.

I acknowledge the fees listed. I recognise the YMS Refunds Policy as found on the YMS website and will abide by its conditions. I recognise that $20 fee will be incurred for the incorrect payments.
I DO NOT give permission for my children to be photographed for the purpose of publicity and promotions of the YMS
I agree to all the above*

Yes
Signature*

Clear

Child 1
Student Name

First NameFamily Name
Date of Birth*

DayMonthYear
Date of Birth
After School Program (3:30pm-5:30pm)*

YesI do not wish to enroll my child in the After School Program
My child's school year in 2021 is:*

KindergartenYear 1Year 2Year 3Year 4Year 5Year 6
The school my child will attend in 2021 is:*
Eg: Lyneham Primary School
Does your child have any medical or Behavioral issues: *
Eg: Asthma - Self administered if needed / Autism spectrum disorder - Needs a quiet place set up if child becomes overwhelmed

Child 2
Student Name

First NameFamily Name
Date of Birth*

DayMonthYear
Date of Birth
After School Program (3:30pm-5:30pm)*

YesI do not wish to enroll my child in the After School Program
My child's school year in 2021 is:*

KindergartenYear 1Year 2Year 3Year 4Year 5Year 6
The school my child will attend in 2021 is:*
Eg: Lyneham Primary School
Does your child have any medical or Behavioral issues: *
Eg: Asthma - Self administered if needed / Autism spectrum disorder - Needs a quiet place set up if child becomes overwhelmed

Child 3
Student Name

First NameFamily Name
Date of Birth*

DayMonthYear
Date of Birth
After School Program (3:30pm-5:30pm)*

YesI do not wish to enroll my child in the After School Program
My child's school year in 2021 is:*

KindergartenYear 1Year 2Year 3Year 4Year 5Year 6
The school my child will attend in 2021 is:*
Eg: Lyneham Primary School
Does your child have any medical or Behavioral issues: *
Eg: Asthma - Self administered if needed / Autism spectrum disorder - Needs a quiet place set up if child becomes overwhelmed

Payment

Please read the below options carefully and select the correct payment
The fees to attend YMS Summer Music Program 2021 are:

2021 YMS Family membership* - $30 (Compulsory)

*If you have paid this for 2021, please email us and we will refund you the Membership amount

plus

First child - $335

- Subsequent childen - $320

After School Program - $100
Fees*
prevnext( X )
YMS family membershipCompulsory
$30.00AUD



Full Payment per child
$ FreeAUD Quantity



After School Program
$100.00AUD Quantity



Total

$0.00AUD
Please make sure payments are correct: Once you click Submit, you cannot come back to the form and will have to restart the application.

If the correct payment is not selected at the time of initial registration, you will be invoiced with a $20 administration fee. Please read the fees carefully. If you have any questions you can email the office.

Admin@youngmusicsociety.org.au

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

YMS Winter Music Program 2021