SYBC27 Registration – West City Music

Name *

Email Address *

Phone *

Which Main Stream are you interested in? *

What instrument do you play? (Strings) *ViolinViolaCelloDouble Bass

Choose your preferred secondary elective *

Tell us about your musical experience/playing ability *

Age *

School *

Year Level *

Dietary Requirements/Health Needs

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Email Address *

Emergency Contact Phone *

For Parents: I am able to help with the following: *Choose multiple (if able)

Photo and Media Consent *I give permission for West City Music to photograph and/or video my child during Westcity Music Youth Summer Camp 2027. I understand that these photos and videos may be used by Westcity Music for promotional and advertising purposes, including on social media, websites, printed materials, newsletters, and other West City Music communications.Yes, I give permission for my child to be photographed and/or filmed and for these images/videos to be used as described above.No, I do not give permission for my child to be photographed or filmed for promotional purposes.

Are you registering more than 1 child from the same family? *

Family instructions

Please register all participants individually, then pay via bank transfer within 7 days:

Cost:

2 people from the same family – $275 ($25 off)
3 people from the same family – $350 ($100 off)

Account number: 12-3071-0259267-00
Account Name: West City Music
Memo: Camp27
Reference: Player’s Surname

Choose method of payment *

Bank Transfer instructions

Please pay within 7 days via bank transfer
Cost: $150

Account number: 12-3071-0259267-00
Account Name: West City Music
Memo: Camp27
Reference: The player’s name
(If there is insufficient space in the reference field, please use the first initial and surname)

Payment: $150.00 NZD *Pay here.