SEA membership form (under 18yrs)

If Participant is over the age of 18 please follow the link to our over 18 membership form: https://form.jotform.com/243181236845862
Members (Childs) details

First NameLast Name
Birth Date

DayMonthYear
Name of Workshops
Do you consent to SEA publishing your child's image in SEA photos or video*

I DO NOT consentI DO consent
Parent/guardian details
Parent/Guardian name

Full Name
Relationship to child
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Second Contact
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relevant Physical, Medical or Behavioural Information
Please include details and how our teaching artists can provide support
Payments

MEMBERSHIP FEE of $20 ($15 for additional family members) each calendar year is due at time of application.

WORKSHOP FEES are due at the beginning of each term and must be received no later than week 3. Payments are accepted via: Online booking, EFTPOS, cash, & direct debit (as below)

Direct debit details: (BSB: 633 000 | ACC: 130 294 770)
Membership Payment
How Would you like to pay your 2025 membership fee?*

Pay nowI have already paid
How did you pay your 2025 membership fee?

Online paymentEFTPOSCashDirect Debt

My Products

First MembershipTo be paid yearly

$20.00AUD Quantity

Additional Family Membership

$15.00AUD Quantity

Total

$0.00AUD

Southern Edge Arts (SEA) members are entitled to voting privileges at our Annual General Meeting each year. Parents/guardians may elect to vote on behalf of their minor. By signing up as a member of SEA you are agreeing to:

- Adhere to our Constitution (available to download on our website).

- Adhere to our member Code of Conduct and Policies.

- Your email address being added to our Newsletter database (you can unsubscribe at any time).

-Photos or video footage being taken of members and used on the SEA website, Youtube, Vimeo, Facebook and other third party websites to promote the work of SEA and our funding bodies unless opted out above.
In order for SEA to deliver culturally relevant and accessible programs, please indicate if you would like to identify as:

Aboriginal or Torres Strait IslanderPerson from a culturally diverse backgroundPerson with additional needs
To Sign Print Parent/Guardian Full Name

First NameLast Name
Date Signed

DayMonthYear
Date
Should be Empty: