centrED Equity Program Travel Subsidy Application Form

Adelaide Guitar Festival Winter School 2022
Application for Participant Subsidy Form

Proudly funded by Adelaide Festival Centre's centrED thanks to the support of the South Australian Department for Education.

This centrED subsidy covers the enrollment fee for Guitar Winter School.

If you have any enquiries, please contact the Education Officer to discuss the application.

Ph: 8216 8861 or centrED@adelaidefestivalcentre.com.au

Information about Guitar Winter School including the Blues & Roots (11 – 15 July 2022) and Orchestral (18 – 22 July 2022) strands can be found here: www.adelaideguitarfestival.com.au/about/adelaide-guitar-festival-winter-school/
Participant
Name *

First Name Last Name
Date of Birth *

Month Day Year
Gender
Name of School *
Year Level *
Chosen Stream *

Orchestral Blues & Roots
Parent/Guardian Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Post Code
Mobile Number *
Home Phone Number
Work Phone Number
E-mail *
example@example.com
Location *

Greater Adelaide - access to public transport Greater Adelaide - no access to public transport Within 2 hours drive from Adelaide More than 2 hours drive from Adelaide
About YOU (the participant) *
How did you hear about the Adelaide Guitar Festival Winter School? *
Please provide the details of at least two (2) referees (guitar teacher, school music teacher, etc) *
If your application is successful the Adelaide Festival Centre may wish to promote the Participant Subsidy Program and your involvement via electronic and print media.

I / we give our permission for the Adelaide Festival Centre to generate publicity should my / our application be successful.

Please select appropriate response *
(to be authorised by parent/guardian only)
Privacy
It's important you can trust us with your personal information. We take your privacy and security very seriously. We'll only ask you for the information we need to help assess your application. If you have privacy concerns please contact our Education Officer on 8216 8861.
Parent / Guardian Declaration
The information given above is true and correct to the best of my knowledge. I have read, understood, and hereby agree to the Terms and Conditions of the Adelaide Guitar Festival Winter School 2022.
I agree to the declaration provided above *
Date *

Month Day Year
Date
Full Name *

First Name Last Name
Relationship to Child *
Should be Empty:

Adelaide Guitar Festival Winter School 2022

Participant

Privacy

Parent / Guardian Declaration