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Instrumental Music Program participation

 
​​The Department of Education and Training, through Pacific Paradise State School, is collecting personal information in accordance with Education (General Provisions) Act 2006 to maintain records matching students with musical instruments. The information will only be accessed by Department of Education and Training. The information will not be given to any other person or agency unless consent is provided.​​​​​
  • Full name of student
  • Year level
  • I wish to participate in the Instrumental Music Program at Pacific Paradise State School in 2018. I have read and understand the terms and conditions of the program and agree to abide by them and to pay the relevant fee in accordance with the selected payment arrangement below.
  • Instrument hire
  • Parent/Carer name
  • Parent/Carer email
  • Parent/Carer preferred phone contact number
  • Date
    Select a date from the calendar.
  • Payment (multiple boxes can be checked)