2020 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 hoskings@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 hoskings@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 2020 to be eligible.

Important

Reenrolment must be submitted by 5pm on Wednesday 16 October 2019you may lose your place in the program if your application is received late.

Please note that our program’s success and positive outcomes for students relies on attendance twice a week. We expect that all participants are able to come to all classes and events except in the case of illness or exceptional circumstances.

All applicants are required to complete the below form. Answers to these questions, along with other information you provide is used to determine your child/children’s suitability for the program. You will be contacted by October 25, 2019 to confirm your child’s enrollment status for Term 1 2020.

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

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

Child details

At the end of the day

Parent / guardian details

Guardian 1

Guardian 2

Emergency contact (not guardian)

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.
Does your child manage any of the following conditions? Tick all that apply:
If your child manages asthma, diabetes or anaphylaxis, you are required to supply a copy of their management plan.

Photography

Medical conditions

Please select any medical conditions as they relate to your child

Medical Conditions

Please select any medical conditions as they relate to your child

Add sibling

Medical Conditions

Please select any medical conditions as they relate to your child