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Home YCOW2022 Community Registration

YCOW2022 Community Registration

Youth & Community Orchestral Workshops 2022
Community Registration

Name *

First

Last

Registration Payment Reference *

Principal Instrument *

Playing Proficiency AMEB Equivalent *

Alternative Instrument(s)

Residential Postcode *

Email *

Email

Confirm Email

Contact Number *

Instrumental Teacher's Name (If Currently Learning)

Instrumental Teacher's Phone

Instrumental Teacher's Email *

Email

Confirm Email

Media Release Agreement *

I AGREE to waive any rights, now and in the future, to any and all audio, visual and audio-visual recordings made by or on behalf of Ipswich City Orchestras Inc in relation to the workshops and public performance which may then be used by The Association in the conduct of their activities in perpetuum.

Use of Images *

I CONSENT to the use of my image in the conduct of the Association’s activities including but not limited to social media, news media and the ICO Inc website.
I DO NOT consent to the use of my image in the conduct of the Association’s activities including but not limited to social media, news media and the ICO Inc website.

Use of Name *

I CONSENT to the use of my name in the conduct of the Association’s activities including but not limited to social media, news media and the ICO Inc website.
I DO NOT consent to the use of my name in the conduct of the Association’s activities including but not limited to social media, news media and the ICO Inc website.

Acknowledgement *

I acknowledge that I participate in the Youth & Community Orchestral Workshops held by Ipswich City Orchestras in July 2022 at my own risk.

How did you hear about the Workshops? *

Facebook
Instagram
Print Media
Teacher
Friend
Email from ICO
Other

Other

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Postal Address

Mail Address
PO Box 215
Ipswich QLD 4305

Contact Emails

president@ipswichcityorchestra.com.au

vicepresident@ipswichcityorchestra.com.au

treasurer@ipswichcityorchestra.com.au

admin@ipswichcityorchestra.com.au

conductor@ipswichcityorchestra.com.au

concertmaster@ipswichcityorchestra.com.au

iyo@ipswichcityorchestra.com.au

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ABN 69 850 725 547