National Youth Choir of Australia Audition Form

Name*

First NameLast Name
Email*
example@example.com
Contact Number*
Date of Birth:*
Parent/Guardian's Name*
Parent/Guardian's Contact Number*
Dietary/Allergy Requirements*
Medical History

It is your responsibility to advise of any medical or other conditions which may affect your health, safety and participation in NYCA activities. In particular allergies and medical conditions such as asthma, diabetes, epilepsy or injuries which may preclude some activities. By filling out this form I consent to information collected on this form relating to my current state of health being disclosed to relevant medical authorities when and if required for the purpose of assisting with my personal and health matters.
Please list any medical conditions*
Do you have any drug allergies?*
Do you have health insurance? If so, please provide details.*
Do you have ambulance cover? If so, please provide details.*
Name of School:
Choirs of which you are currently a member:*
Choral experience, vocal or instrumental training:*
SopranoAlto/CountertenorTenorBaritone/Bass
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Media Consent

I consent to NYCA utilising my voice and appearance in connection with any concert recordings or headshots in any manner or media whatsoever, including without limitation unrestricted use for purposes of publicity, advertising and sales promotion on Facebook, YouTube, Twitter and any other advertising medium or outlet whatsoever, at NYCA’s discretion, in perpetuity without any royalty or other payment.I acknowledge and agree that:· the content of any recording (including my image and voice recording) is the property of NYCA;· the recording may be edited in NYCA’s sole discretion;· NYCA is not obliged to publish, post, host, distribute or make any use of a recording whatsoever;· NYCA will not be responsible in any way whatsoever to me for any loss or damage suffered as a consequence of the recording.
By filling out this form you have guaranteed a spot at the workshop. If you become unable to attend, please let us know as soon as possible.

9:30am - 4:30pm Saturday 1st March 2025

St John's Anglican Church

552 Burke Rd, Camberwell, 3124

If you have any questions, please email us at admin@nyca.org.au
Should be Empty:

Medical History

Media Consent