Expression of Interest to join WHPS Band 2021

Starting Term 1 2021

Student's Name * First Last
Class *
Parent / Guardian's name * First Last
Relationship to student *
Email *
Contact Number *
Assessment *
I give permission for my child to be assessed during school hours by our Training Band conductors Shauna Tyson and Jenny Ridgeway (you do not need to be present). After assessments are completed, an email will be sent home with more details about instrument suitability and information on the bands and payments required to secure my child a spot.
Electronic authority *
I authorise that I am either the parent or carer of the child named on this form and have the legal authority to approve my child's participation in this assessment (in lieu of signature)
SUITABILITY ASSESSMENT

Before the assessment, we would like to understand a few important things about your child. Could you please tick any of the following that best describes your child. It does not indicate that a child is unsuitable to play an instrument, but it will help us select the instrument that will best suit him/her.

Please answer the following questions: *
Please answer the following questions:	Yes	Sometimes	No
reads and writes fluently	Yes	Sometimes	No
manages simple maths	Yes	Sometimes	No
reads for pleasure	Yes	Sometimes	No
sings at home	Yes	Sometimes	No
listens to music for pleasure	Yes	Sometimes	No
poor dexterity in fingers	Yes	Sometimes	No
enjoys team sports	Yes	Sometimes	No
likes school	Yes	Sometimes	No
orthodontic problems	Yes	Sometimes	No
ear/hearing problems	Yes	Sometimes	No
talkative	Yes	Sometimes	No
very active	Yes	Sometimes	No
fidgets a lot	Yes	Sometimes	No
left handed	Yes	Sometimes	No
double jointed	Yes	Sometimes	No
extraverted	Yes	Sometimes	No
introverted	Yes	Sometimes	No
shy	Yes	Sometimes	No
persistent	Yes	Sometimes	No
sporty & athletic	Yes	Sometimes	No
adenoids removed	Yes	Sometimes	No
dislikes school	Yes	Sometimes	No
perfectionist	Yes	Sometimes	No
self confident	Yes	Sometimes	No
easily discouraged	Yes	Sometimes	No
easily tired	Yes	Sometimes	No

Anything else that may be relevant to instrument choice (including relevant allergies):
INSTRUMENT PREFERENCES

Please indicate in order of preference the instruments your child is interested in playing: (Please be aware that factors including suitability and a balanced band need to be considered when assigning instruments to a child and that it is not guaranteed that a child will be allocated their first choice of instrument)
Preference 1
Preference 2
Preference 3
No Instrument Preference / We'll be guided by your recommendations