Wagga Wagga Songfest - Secure

Name*
First Last
Age
Date of Birth
Postcode
Aboriginal or TSI
Year at School in 2019
School Attending
Parent/Guardian 1 - Name
Parent/Guardian 1 - Email address
Parent/Guardian 1 - Phone number
Parent/Guardian 2 - Name
Parent/Guardian 2 - Email address
Parent/Guardian 2 - Phone number
Emergency Contact Name
Please provide an additional (non-parent) contact in case of emergency. Parents will be contacted first.
Emergency Contact Phone
Allergy: Please list any known allergies (e.g. medications, food, plants, etc.). If you have experienced an anaphylactic reaction, please detail the cause and severity. Management plans can be emailed to Gondwana Choirs (scc@gondwana.org.au) if necessary.
None
Do you carry an Epipen?
Please tell us about any other medical conditions (including asthma, diabetes, epilepsy, etc). This information will remain strictly confidential. Please email scc@gondwana.org.au if you have any concerns or to provide management plans.
Not applicable
Do you have any access requirements? Please give details.
No
Is there anything else we should be aware of?
No
Are there any court orders in place relating to your family?