NECOM New Student Form

Student Details

First Name*

Last Name*

Date of Birth*

Primary Phone*

Student's School email address

example@example.com.au

Student Enrolment

I wish to enrol my child for (select 1 or both):*

Individual LessonsEnsemble or Choir incl. Mini Minstrels, Mini Musos, Mini Maestros, Music Therapy, Con Brio, NEWE

Individual Lesson Enrolment

Instrument

Year at School

This will determine the correct program for your child

Day Preference

Beginner Lesson Length

You will be able to join a choir or ensemble group as part of this enrolment for no additional fee.

Beginner choir/ensemble

Free add-on to any Beginner Instrumental lesson

Instrumental Program Lesson Length

Preferred Tutor

Preferred Location for Individual Lesson

SchoolNECOM

Do You Need to Hire an Instrument?

YesNo

Additional Notes

Ensemble or Choir Enrolment

Ensemble/Choir

Other

The huge success of New England Sings! has provided NECOM with the opportunity to provide a gift to our families as part of our commitment to the community to rebuild the resilience and potential of our children. Choral Fees for 2024 will be partially funded.

Minisingers $62/term
Cantilena $83/term
New England Singers $104/term

Students enrolled in instrumental or ensemble lessons through necom are eligible for a 50% discount on these fees.

Additional Notes

Gender*

MaleFemaleOther

School*

School Year in 2025*

Indigenous Status - Is the student of Aboriginal or Torres Strait Island descent?*

YesNo

Language - Is the student from language backgrounds other than English?*

YesNo

If yes, what language?

Disability Status - Does the student have a disability?*

YesNo

Please indicate any allergies or medical/behavioural conditions:

Account Holder

First Name*

Last Name*

Mobile Phone*

Home Phone

Email*

Street Address*

Suburb*

Postcode*

Family Member Discount - only available for second sibling (or more) enrolled in the Instrumental program.

Name of Family Member For Discount

Additional Parent/Guardian

For children with two households.

First Name

Last Name

Phone Number

Email

Emergency Contact

First Name*

Last Name*

Phone Number*

NECOM Enrolment Terms & Conditions

Enrolment Terms & Conditions*

I have read and will uphold the Enrolment Terms & Conditions, including lesson attendance, absence/withdrawal policy.

Fee Payment Terms & Conditions*

I have read and will uphold the Fee Payment Terms & Conditions, including payment options, refunds/withdrawal notification.

Enrolment Duration*

I understand enrolment is for the full year unless I give written notice to cancel my enrolment 4 weeks before the start of the term.

Media Release*

I DO give permission for NECOM to obtain and publish content that may include me/my child’s image and/or name for promotional & archival purposes. Communications include but are not limited to, print media, television and video, radio, and publicly available websites and NECOM social media sites. Content includes but is not limited to photographs, text, illustrations and graphics, videos, sound recordings and examples of participants work.I DO NOT give permission for NECOM to obtain and publish content that may include me / my child’s image and/or name for promotional & archival purposes. Communications include but are not limited to, print media, television and video, radio, and publicly available websites and NECOM social media sites. Content includes but is not limited to photographs, text, illustrations and graphics, videos, sound recordings and examples of participants work.