2017 Application Form

Before completing the form below, please read our Terms and Conditions. For more information please peruse some of our Frequently Asked Questions.

If you need assistance completing the form, please email pizzi@mso.com.au or phone/text 0429 545 289.

Privacy Statement

MSO collects personal information as requested on this form for the purpose of registering your child in The Pizzicato Effect program. By completing this form, you are giving permission for the MSO to collect and store the information as necessary. This information will be used for registration and administration purposes, and to contact you in the event of an emergency. Your personal information will not be disclosed to any other party without your consent except where the release is required by law. You may request access and/or make corrections to your personal information that the MSO holds about you, by contacting pizzi@mso.com.au or phone/text 0429 545 289.

Let's Get Started

Please note that children must be in Grade 3 or above in 2017 to be eligible to apply.

Preferences for annual enrolments are given to students already participating in the program. All applications for a place the program are required to answer the question “Why do you wish to join The Pizzicato Effect?”. Answers to this question, along with other information you provide is used to determine your child/children’s suitability for the program. You will be contacted by the end of December 2016 to confirm your child’s enrolment status. Places are limited, and determined at the discretion of the Pizzicato Effect team. If we are unable to place your child for commencement in Term 1 2017, you will be placed on a waiting list and contacted as soon as a place is available.

Please note that you are required to submit one online form per child. To complete this form you will need:

  • Your contact details
  • The details of an emergency contact
  • Your Medicare card and any ambulance membership cards

Thank you – we can’t wait to receive your application!

Expression of Interest

Child Details

Cultural Heritage

This information will be used for statistical purposes only. It will not be used as a basis for admission, or for purposes of discrimination.

Parent/Guardian Details

Guardian 1

Guardian 2

Emergency Contact

We require you to list the details of one emergency contact in case you cannot be contacted, for whatever reason. Please ensure the emergency contact listed is not a parent or guardian already listed.

Alternative Language Contact

We enjoy spending time speaking with you and getting to know our families. Please don’t worry if English is not your native language. If you are not comfortable communicating in English, you can nominate a family member or friend to help you.

Communicating With You

Transport Share

We recognise that families living close to each other may enjoy the opportunity to share transport by car.

Drop-off / Pick-up

The safety of children is paramount to The Pizzicato Effect. To ensure the safety of all, you are required to select at least one of the following options.

Medical Details

Please note, if your child suffers from a condition, allergy or is at risk of anaphylaxis please attach a copy of the management plan. This is a program requirement so as to provide the best possible care for your child in a medical emergency.

Media Release

I grant permission for the student in my care to be photographed and/or filmed for The MSO marketing, publicity or research purposes.

The images collected may be used to promote MSO programs to other schools, MSO program stakeholders, program funding bodies and to the general public.

I understand that the images collected by The MSO may be used in a range of generally available publications specifically relating to The MSO, including one or more of the following:

  • The MSO Website
  • Printed materials
  • Media advertisements and press editorial
  • Promotional publications
  • Annual Reports
  • Program profiles

Ownership of the images collected will remain with The MSO.

I agree that The MSO may use the images for any lawful and reasonable purpose. Any changes to this release must be notified in writing. This release is executed as an agreement and governed by law in force in the state of school residence, Australia.

I, on behalf of the student listed above represent and warrant that I give any necessary permissions to take the photographs of the property and children involved.