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CCCG ReelTime Music Course Registration Form

Workshop Details:

Workshop Name: 6-Week Music Course

Start Date: Thursday 3rd July (6 consecutive weeks)

Time: 7:30 PM - 9:30 PM

Duration: 6 consecutive Weeks

Applicant Information:

Birthday
Day
Month
Year

Contact Information:

Multi-line address

Musical Experience:

Have you participated in any music workshops before?

Emergency Contact Information:

Medical Information:

Do you have any medical conditions or allergies we should be aware of?

Dietary Requirements:

Do you have any dietary requirements we should be aware of?

Photo consent:

Do you give permission to be photographed and recorded during the ReelTime Workshops. These may be used for promotional purposes, including social media, the organisation's website, and other materials.

Do you have any medical Consent and Agreement:


Parental/Guardian Consent:

I hereby give consent for my child to participate in the 6-week music workshop starting  July 2025.

I agree to the terms and conditions of the workshop and understand that it is my responsibility to inform the organisers of any changes to the information provided.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Applicant Agreement:

I, the applicant, agree to actively participate in the workshop and respect the rules and regulations set by the organisers.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
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