• 2021 Application Form

  • Please complete a separate application form for each student. 

    Applications are welcome at any time and places are allocated according to performance standard & ensemble experience. We maintain a waiting list of suitable members, and if no place is immediately available for your instrument, we may contact you later if an opening arises. 

    Personal information will be handled in accordance with privacy legislation and will not be shared with other organisations without the individual’s consent.

    Further information & payment details will be sent at the time of acceptance.

     

  • Student Information:

  •  -  -
    Pick a Date

  • Parent / Guardian Information

  • Instrumental Teacher Information

    School or Private

  • Medical Information

  • Permissions and Agreements

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    Parental Permission

    I, the parent/guardian, give permission for my child to participate in Penrith Youth Orchestra activities in 2021 as outlined on the PYO website. I will ensure that the above-named student attends all rehearsals and workshops unless granted permission by PYO Coordinator. I understand that tutors and staff will not accept any responsibility for the supervision of the participant prior to or following the completion of each workshop, rehearsal or performance. I agree to indemnify Penrith Performing & Visual Arts Ltd for any personal loss, injury or damage that may result from participating in the workshops and related projects, except when Penrith Performing & Visual Arts Ltd is negligent or otherwise at fault.

     

  • Media Permission


    I, the parent/guardian of the above-named student, give permission for my child to be photographed, filmed or interviewed during all Penrith Youth Orchestra activities by ACO, PSO, Penrith Con and news media. I consent to the use or reproduction of photographs and footage of the aforementioned student for a variety of fundraising or promotional purposes, including but not limited to: promotion of ACO, PSO, Penrith Con in selected media; articles; fundraising proposals and presentations; ACO, PSO, Penrith Con marketing material; donations campaigns and information brochures.

  • I, the parent/guardian, hereby agree this form has been completed truthfully and accurately to the best of my knowledge.

  • Should be Empty: