Enrolment Form :Central Coast Conservatorium of Music

If you are a new or returning student enrolling in:

the Conservatorium's Schools Program or Lakes Strings Program please click here:

One to One lessons, Ensemble membership, Musicianship or the Children's Music Program (CMP), please continue on complete the online form below.

To secure your lesson time/s for 2020, please complete and submit the below enrolment application form. An enrolment application form is required for each student enrolling. Please note that by completing and submitting this Application for Enrolment you are agreeing to the Terms and Conditions of Enrolment A full copy of the terms and conditions can be found online here or requested from the office. By clicking 'submit' after completing the enrolment form you are considered as having signed this document and you have accepted the Terms and Conditions enabling the Conservatorium to process your enrolment accordingly. Please note that you will be invoiced four times per year for your lessons/classes unless you notify us in writing of your discontinuation 7 days before the commencement of the term. Payment of fees is due in the first week of the commencement of each term or by entering into an approved arrangement with the Conservatorium (please refer to the Terms and Conditions). Unfortunately, students whose fees are not paid in accordance with this rule will have to cease lessons/classes until the fees are paid and risk losing their lesson time.

* Required

Who are you enrolling? *
I am enrolling myself
I am enrolling a child

Student Surname *

Student Given Name *

Student's Date of Birth (Enter Month first, then Year, then Day) *

Student's gender *
Male
Female

STUDENT'S SCHOOLING IN 2020 *
Not at school
Government Primary School
Government Secondary School
Non-government Primary School
Non-government Secondary
Homeschooled - Primary
Homeschool - Secondary

Name of School

Does the student have a DIAGNOSED physical or intellectual disability? *
Yes
No

If you answered YES to the question above about the student having a disability please specify the disability.

Medical, learning or behavioural issues that the teacher should be aware of.

Does the student being enrolled identify as Aboriginal or Torres Strait Islander origin? *
Yes - Aboriginal or Torres Strait Islander
No
prefer not to answer

Main language spoken at home *
English
Other

If you answered 'other' to the question above, please specify language

We may use photos and images from events in our publicity and promotional material including social media. Do you give permission for your child to be photographed and images used for this purpose? *
Yes
No

Are you enrolling for One-to-One Private Lessons *
Yes
No

Do you play more than one instrument and want to enrol for lessons for both instruments?
Yes
No

Instrument #1: What musical instrument are you enrolling for 1 to 1 lessons?

Instrument #1; 1 to 1 lesson duration - please select one
20 minutes
30 minutes
45 Minutes
60 minutes

Do you want weekly or fortnightly lessons?
Weekly lessons
Fortnightly lessons

Instrument #2: What musical instrument are you enrolling for 1 to 1 private lessons?

Instrument #2 Lesson duration
20 minutes
30 minutes
45 minutes
60 minutes

Instrument #2 - Do you want Weekly or Fortnightly lessons
Weekly lessons
Fortnightly lessons

ENSEMBLES - Select from the list below the Ensembles you are in or joining
Musicianship classes
Primary Wind Ensemble (Superband)
Symphonic Wind Ensemble
Youth Orchestra
Saturday Strings Program (see below)
Contemporary Music Ensemble
Jazz Guitar Ensemble
Classical Guitar Ensemble
Steve Smillie Guitar Ensemble
Percussion Ensemble
Conspirito Flute Ensemble (Adults)
Recorder Ensemble
Choir
Concert Band
Children's Music Program

Saturday Strings Program
Ensembles Package
Beginner String Class
Mini Strings Ensemble
String Ensemble
Chamber Music Groups
Technique Class
CC Chamber Orchestra
Rotary Woy Woy Strings Program

BILLING AND CONTACT DETAILS - Please enter your name and other details below

Relationship to student *
I am enrolling myself
Mother
Father
Guardian
Grandparent
Other

Parent/Carer First Name *

Parent/Carer Surname *

Email Address *

Cell Phone Number *

Home Phone Number

Home Address *

City *

State *

Zipcode/Postcode *

Country *

Would you like to sign- up to our Payment Plan for the payment of fees? *
Yes
No

I have read the Terms and Conditions of enrolment and agree to be bound by them. By pressing submit at the end of this form I acknowledge this statement. *
Yes
No

To help us know what advertising is working, please let us know how did you hear about the Conservatorium? *
I am a returning student
I am an existing student
Friend or family member
Newspaper advertisement
Facebook
Learned previously at the Con
Noticed sign out front of building
Music Teacher Online Website
Internet search
Other

Press SUBMIT below. You will receive to your Email account a confirmation from admin@cccmusic.nsw.edu.au Please check you receive this & check all the details. If you notice any errors contact us.For any questions or comments enter below.

Prove you're not a robot *

Enrolment

About Us

Term Dates

Mission Statement