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Registration for Rusty at the Movies 2024
Sunday 6 October 2024
1pm - 4.30pm
Te Whare Tāpere Iti
Gallagher Academy of Performing Arts
Name
*
First name
Last name
Email
*
Landline (if applicable)
Mobile
Instrument
Carpooling
We encourage players to carpool wherever possible to support our commitment to reducing carbon emissions. With your consent we will upload your contact details to the password-protected player portal, including name, email and/or phone number, and your suburb. Please tell us which suburb you live in and indicate your consent to publication as appropriate.
Suburb
*
Please publish my name, email, phone number and suburb on the player portal
Please publish only my name, email and suburb on the player portal
Please publish only my name, phone number and suburb on the player portal
Please do not publish my contact details on the player portal
Are you able to print your own music?
*
Yes
No - I can pick the music up on the day
No - I would like to pick up my music beforehand please
Photos
Occasionally we take photos of events and these may be published on social media or in other forums such as funding applications.
I consent to publication of any images of me
*
Yes
No
Payment
Please choose one of the GST inclusive payment options below. If paying by internet banking please include your name and "Rusty" in the reference fields. In cases of hardship we recommend a payment of $10 but if this is a barrier to your participation please choose the "other amount" option and pay what you can afford.
Note that refunds may only be offered due to extenuating circumstances and then only at the discretion of Orchestras Central.
Amount
*
$21 standard fee
$10 student concession
$10 hardship concession
Other amount
$
Some players in the past have kindly combined donations with their registration fees. This year we are making it easier for you to do so here.
Donation
$
Total amount
$
Pay/Donate method
Debit or credit card
Internet banking
Make deposit to account
Bank account details will be emailed to you
Please check the highlighted fields
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