TRCM enrolment form

1
Enrolment type* This field is required.
Re-enrolment
New student
2
Full name* This field is required.
First Name
Last Name
3
Date of birth* This field is required.
Date
Day
Month
Year
4
Today
Date
Day
Month
Year
5
Age
6
Gender* This field is required.
Male
Female
Non-binary
Prefer not to say
7
Residential address* This field is required.
Line 1
Line 2
Suburb
State
Postcode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
8
Will the student attend school (including home school) in 2026?* This field is required.
YESNO
9
School type* This field is required.
Pre-school/Prep
Primary
Secondary
Homeschool
10
Pre-school/Prep name* This field is required.
Bambini Boutique Childcare
Birrelee M.A.C.S.
Calrossy Anglican School
Carinya Christian School Prep
Centrepoint Childcare Centre
Goodstart Early Learning, Calala
Goodstart Early Learning, Tamworth
Kootingal & District Pre-School
Manilla Community Pre-School
Nundle CWA Pre-School
Peter Pan Pre-School
St Mark's Pre-School and Long Daycare
St Mary's Pre-School
Tamworth Montessori Pre-School
Other
11
Primary school name* This field is required.
Attunga Public School
Bendemeer Public School
Calrossy Anglican School
Carinya Christian School
Currabubula Public School
Dungowan Public School
Duri Public School
Hillvue Public School
Kootingal Public School
Liberty College
Manilla Central School
Moonbi Public School
Nemingha Public School
Niangala Public School
Oxley Vale Public School
Quirindi Public School
Somerton Public School
St Edward's Primary School
St Joseph's Primary School
St Michael's Primary School
St Nicholas' Primary School
Tamworth Public School
Tamworth South Public School
Tamworth West Public School
Timbumburi Public School
Tintinhull Public School
Wallabadah Public School
Werris Creek Public School
Westdale Public School
Willow Tree Public School
Woolbrook Public School
Woolomin Public School
Other
12
Secondary school name* This field is required.
Calrossy Anglican School
Carinya Christian School
Farrer Memorial Agricultural High School
Manilla Central School
McCarthy Catholic College
Oxley High School
Peel High School
Quirindi High School
Tamworth High School
Other
13
Year level in 2026* This field is required.
Please Select
Please Select
Kindergarten
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
14
Are you studying any of the following in 2026?* This field is required.
Music 1
Music 2
Music 2 and Extension Music
Music Life Skills
Not studying Music / Not applicable
15
Full name* This field is required.
Mr
Mr
Mrs
Ms
Dr
Prof
Prefix
First Name
Last Name
16
Relationship to student* This field is required.
Parent/Carer
Self
Caseworker
Other
17
Email* This field is required.
example@example.com
18
Phone number* This field is required.
Please enter a valid phone number.
19
Address* This field is required.
Line 1
Line 2
Suburb
State
Postcode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
20
Is an organisation paying this account?* This field is required.e.g. NDIS, school, etc.
YESNO
21
Organisation name* This field is required.
22
ABN
23
Contact person
24
Same as billing contact?* This field is required.
YESNO
25
Full name* This field is required.
Mr
Mr
Mrs
Ms
Dr
Prof
Prefix
First Name
Last Name
26
Relationship to student* This field is required.
Parent/Carer
Self
Caseworker
Other
27
Email* This field is required.
example@example.com
28
Phone Number* This field is required.
Please enter a valid phone number.
29
Address* This field is required.
Line 1
Line 2
Suburb
State
Postcode
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
30
Full name* This field is required.
Mr
Mr
Mrs
Ms
Dr
Prof
Prefix
First Name
Last Name
31
Relation to student* This field is required.
Parent/Carer
Spouse
Caseworker
Other
32
Phone Number* This field is required.
Please enter a valid phone number.
33
Does the student have any of the following? (Tick all that apply, or click Next if none)Serious allergies – Allergies that may cause a significant reaction (e.g. anaphylaxis, severe asthma triggered by allergens, or other conditions that require an action plan or medication). Disabilities – Long-term physical, intellectual, or sensory impairments that may affect participation in lessons (e.g. mobility limitations, vision or hearing loss, developmental disability). Other medical conditions relevant to enrolment – Ongoing health issues that teachers should be aware of (e.g. epilepsy, diabetes, anxiety, or other conditions that may affect learning or safety). Special needs or requirements – Adjustments that can help the student learn more effectively (e.g. extra time to process instructions, specific seating needs, or strategies recommended by a school or therapist).
Serious allergies
Disabilities
Other medical conditions relevant to enrolment
Special needs or requirements
34
Serious allergies (Select all that apply)* This field is required.
Peanuts
Tree nuts (e.g. almonds, cashews, walnuts, hazelnuts)
Eggs
Milk / Dairy
Soy
Wheat / Gluten
Fish
Shellfish / Crustaceans
Insect stings (e.g. bees, wasps, ants)
Medications (e.g. penicillin, other antibiotics)
Latex
Other
35
Please provide an action plan if applicable
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Select files to upload
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36
Disabilities (Select all that apply)* This field is required.
Hearing impairment or deafness
Vision impairment or blindness
Physical disability affecting mobility or fine motor skills (e.g. cerebral palsy, muscular dystophy)
Intellectual disability
Autism spectrum disorder (ASD)
Attention deficit hyperactivity disorder (ADHD)
Development delay
Speech or language disorder
Dyslexia or other specific learning disorders
Mental health conditions that affect learning or participation (e.g. anxiety, depression)
Other
37
Other medical conditions relevant to enrolment (Select all that apply)* This field is required.
Asthma
Epilepsy
Diabetes (Type 1 or Type 2)
Severe migraines
Heart conditions
Anxiety
Depression
Chronic fatigue or chronic pain
Gastrointestinal conditions (e.g. Coeliac disease, Crohn's disease)
Skin conditions (e.g. severe eczema)
Other
38
Special needs or requirements (Select all that apply)* This field is required.
Extra time to process instructions
Visual supports (e.g. enlarged music, coloured overlays)
Simplified or step-by-step instructions
Breaks during lesson if needed
Support with focus and attention (e.g. redirection, movement breaks)
Assistance with organisation (e.g. reminders for books/instruments)
Communication support (e.g. visual aids, simplified language, interpreter)
Sensory considerations (e.g. sensitivity to sound, lighting, or touch)
Support for emotional regulation (e.g. calming strategies, safe space)
Other
39
Is there any other relevant information regarding the students' health that the teacher should be aware of?
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Ok
40
Does the student identify as Aboriginal or Torres Strait Islander?* This field is required.
Aboriginal
Torres Strait Islander
Both
Neither
41
Is the student from a culturally, linguistically, or religious diverse background?* This field is required.
YESNO
42
What language is spoken at home? (Select all that apply)* This field is required.
English
Arabic
Cantonese
Filipino / Tagalog
French
German
Greek
Hindi
Italian
Korean
Mandarin
Punjabi
Spanish
Tamil
Vietnamese
Other
43
Early Childhood Music preferenceAll classes are 30 minutes in length and are scheduled between 9:00 am and 12:30 pm. Age groups are based on the students' age at the beginning of the year.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
44
Instrumental or small group tuitionIncluding individual or shared lessons, and Junior learner programs
45
Ensemble
46
Do you give permission for TRCM to use images/interviews of the student in publicity?* This field is required.
YESNO
47
Do you have any comments or additional notes that are relevant to this students' enrolment?Optional - please click next if none
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Ok
Ok
48
By submitting this form, you confirm that:

You are 18 years or older

This form was completed by the student, or a parent/carer/organisation representative

You have read, understood, and accepted the Terms & Conditions of Enrolment

In an emergency, TRCM staff may seek appropriate medical assistance

The information provided is correct

You wish to proceed with enrolment
49
SignatureSigned by the person responsible for payment
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